1. Home
  2. Directory
  3. Florida
  4. Jacksonville Beach
  5. Nurse Practitioner
  6. NPI Profile

MADISON HARRIS PETERSEN NP
NPI 1982589842
Nurse Practitioner in Jacksonville Beach, FL

Active since August 09, 2025
509 9TH AVE S, JACKSONVILLE BEACH, FL 32250(904) 476-7779 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Harris Petersen Np NPPES

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

MADISON HARRIS PETERSEN NP (NPI 1982589842) is an individual nurse practitioner in Jacksonville Beach, Florida, licensed in Florida (APRN11033440) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1982589842
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADISON HARRIS PETERSENCredential: NP
Location Address509 9TH AVE SJacksonville Beach, FL 32250-5129
Mailing Address509 9th Ave SJacksonville Beach, FL 32250-5129 · (904) 476-7779
Phone(904) 476-7779
Sole ProprietorNo
Enumeration DateAugust 9, 2025
NPPES CertifiedAugust 9, 2025
✔ NPI 1982589842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11033440
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

509 9TH AVE S, Jacksonville Beach, FL 32250
Open in Google Maps ↗

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 Madison Petersen's NPI number?

The NPI number for Madison Petersen is 1982589842. It was assigned to this individual provider in the NPPES registry on August 9, 2025.

Where is Madison Petersen located?

Madison Petersen practices at 509 9th Ave S, Jacksonville Beach, FL 32250. The listed phone number is (904) 476-7779.

What is Madison Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Madison Petersen was last updated on August 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.