Individual provider · Type 1 NPI
Jennifer Marie Petersen, AGNP-C
Adult Health Nurse Practitioner · Westlake, OH
NPI number
1740705003
Active
Practice location
1892 Bassett Rd
Westlake, OH 44145-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.020810 (OH) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN.CNP.020810 (OH) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1740705003
Jennifer Marie Petersen, AGNP-C's National Provider Identifier is 1740705003, issued on Aug 8, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Westlake, OH. The record was last updated on Sep 1, 2022.