Individual provider · Type 1 NPI
Madison Harris Petersen, NP
Nurse Practitioner · Jacksonville Beach, FL
Practice location
509 9th Ave S
Jacksonville Beach, FL 32250-5129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN11033440 (FL) |
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 1982589842
Madison Harris Petersen, NP's National Provider Identifier is 1982589842, issued on Aug 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Aug 9, 2025.