JEANNE LYNN PETERSON P.A.-C
NPI 1861741480
Physician Assistant in Phoenix, AZ

Active since August 29, 2012
201 S 4TH AVE, INTAKE PROVIDER, PHOENIX, AZ 85003(602) 876-9124(602) 253-3431 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2020, Mar 2, 2018, Dec 11, 2015 (3 updates tracked since 2015).

About Jeanne Lynn Peterson P.a.-c NPPES

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

JEANNE LYNN PETERSON P.A.-C (NPI 1861741480) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (5187) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1861741480
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEANNE LYNN PETERSONCredential: P.A.-C
Location Address201 S 4TH AVE, INTAKE PROVIDERPhoenix, AZ 85003-2138
Mailing Address201 S 4th AvePhoenix, AZ 85003-2138 · (602) 876-9124 · Fax (602) 253-3431
Fax(602) 253-3431
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateMay 5, 20203 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
NPI 1861741480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 5187
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
201 S 4TH AVE, Phoenix, AZ 85003

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
201 S 4TH AVE
PHOENIX, AZ 85003
Physician Assistant
201 S 4TH AVE
PHOENIX, AZ 85003
Nurse Practitioner (Psychiatric/Mental Health)
201 S 4TH AVE
PHOENIX, AZ 85003
Internal Medicine
201 S 4TH AVE
PHOENIX, AZ 85003
Social Worker (Clinical)
201 S 4TH AVE
PHOENIX, AZ 85003
Physician Assistant (Medical)
201 S 4TH AVE
PHOENIX, AZ 85003

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 Jeanne Peterson's NPI number?

The NPI number for Jeanne Peterson is 1861741480. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Jeanne Peterson located?

Jeanne Peterson practices at 201 S 4th Ave Intake Provider, Phoenix, AZ 85003. The listed phone number is (602) 876-9124.

What is Jeanne Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeanne Peterson was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.