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

Jordan Marie Peterson

Individual provider Family Medicine Physician · NPI 1164351060

Jordan Marie Peterson is a Family Medicine Physician in Perkinston, Mississippi. Licensed in Mississippi. Registered with an NPI since 2026.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

8105 Caesar Necaise Rd
Perkinston, MS 39573-3830
Phone: (228) 493-4379
Fax: (228) 493-4379
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 908329 (MS)

Record details

NPI number1164351060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2026
Last updated in NPPESMay 16, 2026
Certification dateMay 16, 2026