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JACQUELINE PETERSON
NPI 1588532956
Licensed Practical Nurse in Greenville, NC

Active since October 28, 2025
622 S MEMORIAL DR, GREENVILLE, NC 27834(888) 473-0904 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacqueline Peterson NPPES

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

JACQUELINE PETERSON (NPI 1588532956) is an individual licensed practical nurse in Greenville, North Carolina, licensed in North Carolina (97463) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1588532956
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUELINE PETERSON
Location Address622 S MEMORIAL DRGreenville, NC 27834-2854
Mailing Address4041b Pitt StAyden, NC 28513-7195 · (609) 553-3409
Phone(888) 473-0904
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1588532956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NC · 97463
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
622 S MEMORIAL DR, Greenville, NC 27834
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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.

MISS VANESSA GIBBS LMFT
Marriage & Family Therapist
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (252) 353-4250
GENNA RODRIGUEZ LPN
Licensed Practical Nurse
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (919) 910-4001
MRS. TAMMY LYNN STREETER-SPATE LCAS
Counselor (Addiction (Substance Use Disorder))
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (252) 353-4250
TERESA ANN WILLIAMS LPN
Licensed Practical Nurse
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (919) 910-4001
CAMBRIDGE BEHAVIORAL HEALTH SERVICES
Counselor (Mental Health)
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (252) 353-4250
ATS OF NORTH CAROLINA, LLC
Clinic/Center (Methadone)
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (760) 710-0968
VIVIAN ROGERS RN
Registered Nurse (Addiction (Substance Use Disorder))
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (919) 910-4001
DESIRAE DARLENE RHINESMITH
Licensed Practical Nurse
622 S MEMORIAL DR
GREENVILLE, NC 27834
Pitt County (888) 473-0904

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 Jacqueline Peterson's NPI number?

The NPI number for Jacqueline Peterson is 1588532956. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Jacqueline Peterson located?

Jacqueline Peterson practices at 622 S Memorial Dr, Greenville, NC 27834. The listed phone number is (888) 473-0904.

What is Jacqueline Peterson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Peterson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.