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

Dr. Jennifer Jill Petersen, DC

Individual provider Chiropractor · NPI 1124180104

Dr. Jennifer Jill Petersen, DC is a Chiropractic in Lakeville, Minnesota. Graduated from Northwestern College of Chiropractic in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

20730 Holyoke Ave Ste 34
Lakeville, MN 55044
Phone: (952) 469-6016
Fax: (952) 469-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3661 (MN)

Record details

NPI number1124180104
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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