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Pamela Teresa Peterson, NP
Nurse Practitioner in Jackson, Michigan
NPI 1255371530

Pamela Teresa Peterson is a Nurse Practitioner based in Detroit, MI. Pamela Teresa Peterson practices in Jackson, MI and has the professional credentials of NP. The NPI Number for Pamela Teresa Peterson is 1255371530 and holds a License No. 4704194081 (Michigan).

The current practice location address for Pamela Teresa Peterson is 300 W Washington Ave, Jackson, MI and can be reached out via phone at 517-841-1305 and via fax at 517-841-1306.

Location: 300 W Washington Ave, Jackson, MI, 48267-2728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255371530
Provider Name
Pamela Teresa Peterson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
300 W Washington Ave, Jackson, MI, 48267-2728
Phone Number
517-841-1305
Fax Number
517-841-1306
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4762402 05 MI
P00252787 01 MI RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
300 W Washington Ave
City
Jackson
State
Michigan
Zip
49201-2180
Phone Number
517-841-1305
Fax Number
517-841-1306
person
Provider Business Mailing Address Details
Address
300 W Washington Ave
City
Jackson
State
Michigan
Zip
49201-2180
Phone Number
517-841-1305
Fax Number
517-841-1306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704194081 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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