Dr. Jennifer Peterson, PMHNP
Nurse Practitioner, Psych/Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1801445754
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1801445754
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Peterson
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2019
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209018887 | IL | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 041402421 | IL |
Practice location
1440 N Dayton StChicago, IL 60642-2644
Phone 312-227-4000
Mailing address
225 E Chicago Ave # 160Chicago, IL 60611-2991
Phone 312-227-4000 · Fax 312-227-9566
Other practice locations
225 E Chicago Ave
Chicago, IL 60611-2991
Chicago, IL 60611-2991
Phone 312-227-4000
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