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

Jessica Marie Petersen, PA-C

Individual provider Physician Assistant · NPI 1699167254

Jessica Marie Petersen, PA-C is a Physician Assistant in Salt Lake City, Utah. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 Foothill Dr Dept OF Holistic Medicine
Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1699167254
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESFebruary 19, 2015

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