Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Janelle Petersen, NP

Individual provider Family Nurse Practitioner · NPI 1164981726

Amy Janelle Petersen, NP is a Family Nurse Practitioner in Modesto, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3509 Coffee Rd Ste D3
Modesto, CA 95355-1357
Phone: (209) 338-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17191 (CA)

Record details

NPI number1164981726
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 13, 2019
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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