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MS. JENNIFER L PETERSEN PA-C
NPI 1871689174
Physician Assistant - Surgical in Fairlawn, OH

Active since October 05, 2006
762 S CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333(330) 665-4100(330) 665-4190 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer L Petersen Pa-c NPPES

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

MS. JENNIFER L PETERSEN PA-C (NPI 1871689174) is an individual surgical provider in Fairlawn, Ohio, licensed in Ohio (50002511) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1871689174
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. JENNIFER L PETERSENCredential: PA-C
Location Address762 S CLEVELAND MASSILLON RDFairlawn, OH 44333-3024
Mailing Address762 S Cleveland Massillon RdFairlawn, OH 44333-3024 · (330) 665-4100 · Fax (330) 665-4190
Phone(330) 665-4100
Fax(330) 665-4190
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1871689174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50002511
762 S CLEVELAND MASSILLON RD, Fairlawn, OH 44333
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedPENDINGOH

Other Providers at the Same Location NPPES 18

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

ANDREW BENJAMIN TREM PT
Physical Medicine & Rehabilitation
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
DR. ANTHONY R BATTAGLIA DC
Chiropractor (Rehabilitation)
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
KELSEY RENAE AIKENS APRN
Nurse Practitioner (Adult Health)
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 388-2758
RICHARD EDWARD PATTERSON PA-C
Physician Assistant (Surgical)
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
GINA L FEGATELLI CNP
Nurse Practitioner
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
SUSAN J JAKUBEK PAC
Physician Assistant
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
DR. GEORGES Z MARKARIAN MD
Neurological Surgery
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100
PATRICK BAUCH
Physical Therapist
762 S CLEVELAND MASSILLON RD
FAIRLAWN, OH 44333
Summit County (330) 665-4100

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 Jennifer Petersen's NPI number?

The NPI number for Jennifer Petersen is 1871689174. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Jennifer Petersen located?

Jennifer Petersen practices at 762 S Cleveland Massillon Rd, Fairlawn, OH 44333. The listed phone number is (330) 665-4100.

What is Jennifer Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Petersen was last updated on April 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.