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

Jack Noel Peterson, MD

Individual provider Internal Medicine Physician · NPI 1700019619

Jack Noel Peterson, MD is an Internal Medicine Physician in Kenner, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

613 Carmenere Dr
Kenner, LA 70065-1107
Phone: (504) 466-4575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD011350 (LA)

Record details

NPI number1700019619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2009

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