Individual provider · Type 1 NPI
Jessica Anne Peacock, CPNP-PC
Pediatric Nurse Practitioner · Gaylord, MI
NPI number
1952886400
Active
Practice location
829 N Center Ave Ste 130
Gaylord, MI 49735-1684
Mailing address
4402 W Stutsmanville Rd
Harbor Springs, MI 49740-9656
Other practice locations
- 3860 S Straits Hwy, Indian River, MI 49749-5146 · (231) 238-0581
- 14719 W Upright St, Charlevoix, MI 49720-1949 · (231) 547-3840
- 825 N Center Ave, Gaylord, MI 49735-1592 · (989) 731-2100
- 1250 E Michigan Ave, Grayling, MI 49738-7074 · (989) 348-0550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704248068 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Gaylord
About NPI 1952886400
Jessica Anne Peacock, CPNP-PC's National Provider Identifier is 1952886400, issued on Oct 1, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Gaylord, MI. The record was last updated on May 24, 2024.