Individual provider · Type 1 NPI

Jacqueline R. Pederson, APRN

Family Nurse Practitioner · Atchison, KS

NPI number 1922670926 Active

Practice location

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204

Fax (913) 674-2030

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204

Other practice locations

  • 801 Atchison St, Atchison, KS 66002-2352 · (913) 367-5020
  • 311 W Locust St, Troy, KS 66087-5252 · (785) 985-3504
  • 1004 Progress Dr Ste 180&145, Lansing, KS 66043-6326 · (913) 297-3215
  • 1903 Euclid Ave, Horton, KS 66439-1238 · (785) 486-2468

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53-80318 (KS)

Family Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1922670926

Jacqueline R. Pederson, APRN's National Provider Identifier is 1922670926, issued on Jul 11, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atchison, KS. The record was last updated on Mar 17, 2026.