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

Jill Peterson

Individual provider Specialist · NPI 1700107612

Jill Peterson is a Specialist in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
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Practice location Address checks out

6125 N Sunshine St
Coeur D Alene, ID 83815
Phone: (208) 964-4457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA 60093876 (WA)

Record details

NPI number1700107612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 15, 2010
Last updated in NPPESJune 15, 2010

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