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

Audrey Lynn Peckham

Individual provider Nurse Practitioner · NPI 1174255798

Audrey Lynn Peckham is a Nurse Practitioner in Whitesboro, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

105 Garretts Grv
Whitesboro, NY 13492-3218
Phone: (315) 939-0320
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Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 350234 (NY)

Record details

NPI number1174255798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing address105 Garretts Grv, Whitesboro, NY 13492-3218

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