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Jennifer Petersen, NURSE PRACTITIONER

NPI 1629053343 · on the registry since 2005

Practice

Address: 11050 Mount Belvedere Blvd
Usa Meddac Attn: Credentials
Fort Drum, NY 13602
Phone: (315) 772-4025
Fax: (315) 772-9498
Organisation at this address: Us Army
Ahc Guthrie-Drum
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 155

Registry record

Primary taxonomy: Family Nurse Practitioner
363LF0000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-13

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 New York