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Jamie Peterson, PA-C
NPI 1487078911 · on the registry since 2014 · sole proprietor
Practice
- Address
- 10394 W Henrys Lake Dr
Boise, ID 83709 - Phone
- (208) 440-0255
- Fax
- (208) 231-3371
Additional practice sites
- 1325 Ne 7th St, Grants Pass, OR
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho