MISS LORA JEAN PETERSON PA-C
NPI 1487333548
Physician Assistant - Medical in Jacksonville, FL

Active since July 17, 2023
1697 KINGS RD, JACKSONVILLE, FL 32209(904) 478-5483 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Lora Jean Peterson Pa-c NPPES

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

MISS LORA JEAN PETERSON PA-C (NPI 1487333548) is an individual medical provider in Jacksonville, Florida, licensed in Florida (PA9114289) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1487333548
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS LORA JEAN PETERSONCredential: PA-C
Location Address1697 KINGS RDJacksonville, FL 32209-6169
Mailing Address15555 Spotted Saddle CirJacksonville, FL 32218-7984 · (510) 875-9909
Sole ProprietorYes
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 16, 2023
NPI 1487333548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9114289
1697 KINGS RD, Jacksonville, FL 32209

Other Names 1

Former Name (1)Mrs. Lora Peterson Garrett Pa-c

Other Providers at the Same Location NPPES 4

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

Internal Medicine
1697 KINGS RD, SUITE 1
JACKSONVILLE, FL 32209
Physician Assistant
1697 KINGS RD, UFJP COLLEGE PARK FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32209
Pediatrics
1697 KINGS RD, SUITE 1
JACKSONVILLE, FL 32209
Family Medicine
1697 KINGS RD, UFJP COLLEGE PARK FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32209

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 Lora Peterson's NPI number?

The NPI number for Lora Peterson is 1487333548. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Mrs. Lora Peterson Garrett Pa-C.

Where is Lora Peterson located?

Lora Peterson practices at 1697 Kings Rd, Jacksonville, FL 32209. The listed phone number is (904) 478-5483.

What is Lora Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lora Peterson was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.