Individual provider · Type 1 NPI

Jennifer Lynn Peterson, CRNP

Nurse Practitioner · Rohnert Park, CA

NPI number 1497941132 Active

Practice location

1331 Medical Center Dr Ste E
Rohnert Park, CA 94928-2900

Fax (707) 261-1136

Mailing address

PO Box 745
Penngrove, CA 94951-0745

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X19577 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497941132

Jennifer Lynn Peterson, CRNP's National Provider Identifier is 1497941132, issued on Sep 17, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rohnert Park, CA. The record was last updated on Oct 1, 2026.