JERROD R PETERSON RN
NPI 1164864856
Registered Nurse in Nespelem, WA

Q: What is Jerrod Peterson's NPI number?

The NPI number for Jerrod Peterson is 1164864856. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Q: What is Jerrod Peterson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerrod Peterson was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2013

19 LAKES STREET, NESPELEM, WA 99155(509) 634-2900(509) 634-2945 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerrod R Peterson Rn NPPES

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

JERROD R PETERSON RN (NPI 1164864856) is an individual registered nurse in Nespelem, Washington, licensed in North Dakota (R32809) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1164864856

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameJERROD R PETERSONCredential: RN

Location Address19 LAKES STREETNespelem, WA 99155-0071

Mailing AddressPo Box 71Nespelem, WA 99155-0071 · (509) 634-2900 · Fax (509) 634-2945

Phone(509) 634-2900

Fax(509) 634-2945

Sole ProprietorNo

Enumeration DateJuly 23, 2013

✔ NPI 1164864856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in ND · R32809

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

19 LAKES STREET, Nespelem, WA 99155

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Other Identifiers 2

Medicaid7139660WA

Medicaid7139470WA

Other Providers at the Same Location NPPES 17

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

CANDI CHRISTINE IVES RN

Registered Nurse