Jacquelyn Peterson
Jacquelyn Peterson is a Medical Physician Assistant in Jamestown, New York. Licensed in New York. Registered with an NPI since 2005.
- Licensed in
- NY
- In the registry since
- 2005
Practice location Address checks out
320 Prather AveJamestown, NY 14701-6820
Phone: (716) 753-7107
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Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 007012 (NY) |
|---|
Record details
| NPI number | 1124019948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 1, 2005 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | May 13, 2021 |
| Mailing address | 95 E Chautauqua St, Po Box 168, Mayville, NY 14757-1017 |
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