National Provider Identifier

Jennifer Peterson

Jennifer Peterson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 833-1076.

NPI 1821339805Tonawanda, NYLicensed Practical Nurse

Profile Overview

NPI
1821339805
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 15, 2013
Last Updated
March 15, 2013

Practice Location

  • 68 Howard Ln
  • Tonawanda, NY 14150-8125

Phone: (716) 833-1076

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1821339805
Entity Type
Individual
Last Name
Peterson
First Name
Jennifer
Mailing Street Address
68 Howard Ln
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-8125
Mailing Country
US
Mailing Phone
(716) 833-1076
Practice Street Address
68 Howard Ln
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8125
Practice Country
US
Practice Phone
(716) 833-1076
Enumeration Date
March 15, 2013
Last Updated
March 15, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)