JUDY LYNN PETERMANN APN
NPI 1114948056
Nurse Practitioner - Family in Fayetteville, AR

Active since July 23, 2006
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301(479) 587-5822 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judy Lynn Petermann Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY LYNN PETERMANN APN (NPI 1114948056) is an individual family provider in Fayetteville, Arkansas, licensed in Arkansas (AO1621) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114948056
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDY LYNN PETERMANNCredential: APN
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address3885 Tara StSpringdale, AR 72762-7947 · (479) 466-4393
Fax(479) 587-5822
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1114948056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · AO1621
1100 N COLLEGE AVE, Fayetteville, AR 72703

Other Identifiers 1

Medicare UPINP86169AR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Petermann's NPI number?

The NPI number for Judy Petermann is 1114948056. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Judy Petermann located?

Judy Petermann practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Judy Petermann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Judy Petermann was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.