Individual provider · Type 1 NPI

Malissa Petersen, PA

Physician Assistant · Chapel Hill, NC

NPI number 1689592800 Active

Practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

10250 W Daley Ln
Peoria, AZ 85383-2734

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-17064 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689592800

Malissa Petersen, PA's National Provider Identifier is 1689592800, issued on Jul 7, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chapel Hill, NC. The record was last updated on Oct 13, 2026.