Jacob Mark Petersen
Jacob Mark Petersen is an Adult Companion in Blair, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
19434 County Road P31Blair, NE 68008-5548
Phone: (402) 237-7638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
Record details
| NPI number | 1598561748 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 19, 2025 |
| Last updated in NPPES | February 19, 2025 |
| Certification date | February 19, 2025 |
| Mailing address | 19434 County Road P31, Blair, NE 68008-5548 |
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