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

Jerreka Peterson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1104415827

Jerreka Peterson, AGACNP is an Acute Care Nurse Practitioner in Colonial Heights, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

524 Southpark Blvd
Colonial Heights, VA 23834-3609
Phone: (804) 504-7980
Fax: (804) 554-5387
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024180529 (VA)

Record details

NPI number1104415827
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJanuary 17, 2021
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

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