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DEAVON ALISHA PETERSON FNP-C
NPI 1760720353
Nurse Practitioner - Family in Lafayette, LA

Active since January 17, 2013
1103 KALISTE SALOOM RD STE 208, LAFAYETTE, LA 70508(337) 234-3757(337) 234-3733 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deavon Alisha Peterson Fnp-c NPPES

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

DEAVON ALISHA PETERSON FNP-C (NPI 1760720353) is an individual family provider in Lafayette, Louisiana, licensed in Louisiana (AP07245) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1760720353
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEAVON ALISHA PETERSONCredential: FNP-C
Location Address1103 KALISTE SALOOM RD STE 208Lafayette, LA 70508
Mailing Address1103 Kaliste Saloom Rd Ste 208Lafayette, LA 70508-5784 · (337) 234-3757 · Fax (337) 234-3733
Phone(337) 234-3757
Fax(337) 234-3733
Sole ProprietorNo
Enumeration DateJanuary 17, 2013
Last NPPES UpdateMay 21, 2018
✔ NPI 1760720353 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 LA · AP07245
1103 KALISTE SALOOM RD STE 208, Lafayette, LA 70508
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Other Names 1

Former Name (1)Deavon Cormier Peterson

Other Identifiers 1

Medicaid2324217LA

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 Deavon Peterson's NPI number?

The NPI number for Deavon Peterson is 1760720353. It was assigned to this individual provider in the NPPES registry on January 17, 2013. The provider is also known as Deavon Cormier Peterson.

Where is Deavon Peterson located?

Deavon Peterson practices at 1103 Kaliste Saloom Rd Ste 208, Lafayette, LA 70508. The listed phone number is (337) 234-3757.

What is Deavon Peterson'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 Deavon Peterson was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.