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

Jacqueline Peterson

Individual provider Licensed Practical Nurse · NPI 1588532956

Jacqueline Peterson is a Licensed Practical Nurse in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

622 S Memorial Dr
Greenville, NC 27834-2854
Phone: (888) 473-0904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 97463 (NC)

Record details

NPI number1588532956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address4041b Pitt St, Ayden, NC 28513-7195

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