1. Home
  2. Directory
  3. Illinois
  4. Normal
  5. NPI Profile

JAMIE D PETERSON ST
NPI 1407107931
in Normal, IL

Active since September 24, 2012
1604 VISA DR STE 2, NORMAL, IL 61761(309) 846-4716 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jamie D Peterson St NPPES

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

JAMIE D PETERSON ST (NPI 1407107931) is an individual healthcare provider in Normal, Illinois and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1407107931
Entity TypeIndividualFemale
Primary Taxonomy246ZS0400X
Provider Legal NameJAMIE D PETERSONCredential: ST
Location Address1604 VISA DR STE 2Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 2Normal, IL 61761-2195 · (309) 846-4716
Phone(309) 846-4716
Sole ProprietorYes
Enumeration DateSeptember 24, 2012
✔ NPI 1407107931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty
Taxonomy Code246ZS0400X
1604 VISA DR STE 2, Normal, IL 61761
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MACKENZIE KNABE CST
Specialist/Technologist, Other (Surgical Technologist)
1604 VISA DR STE 2
NORMAL, IL 61761
McLean County (309) 846-4716

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 Jamie Peterson's NPI number?

The NPI number for Jamie Peterson is 1407107931. It was assigned to this individual provider in the NPPES registry on September 24, 2012.

Where is Jamie Peterson located?

Jamie Peterson practices at 1604 Visa Dr Ste 2, Normal, IL 61761. The listed phone number is (309) 846-4716.

When was this NPI record last updated?

The NPPES record for Jamie Peterson was last updated on September 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.