Mrs Jennifer Louise Petersen, NURSE PRACTITIONER - Nurse Practitioner in Fort Drum, NY

Mrs Jennifer Louise Petersen, NURSE PRACTITIONER is a Nurse Practitioner - Family based in Fort Drum, New York. Mrs Jennifer Louise Petersen is licensed to practice in Kansas (license number 44888) and her current practice location is 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, New York. She can be reached at her office (for appointments etc.) via phone at (315) 772-4025.

NPI number for Mrs Jennifer Louise Petersen is 1629053343 and her current mailing address is 11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials, Fort Drum, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629053343.

Contact Information

Mrs Jennifer Louise Petersen, NURSE PRACTITIONER
11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials,
Fort Drum, NY 13602-5438
(315) 772-4025
(315) 772-9498

Map and Direction




Provider's Profile

Full NameMrs Jennifer Louise Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location11050 Mount Belvedere Blvd, Fort Drum, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629053343
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jennifer Louise Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629053343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 44888 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Louise Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Louise Petersen, NURSE PRACTITIONER
11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials,
Fort Drum, NY 13602-5438

Ph: (315) 772-4025
Mrs Jennifer Louise Petersen, NURSE PRACTITIONER
11050 Mount Belvedere Blvd, Usa Meddac Attn: Credentials,
Fort Drum, NY 13602-5438

Ph: (315) 772-4025

Reviews and Comments


Nurse Practitioner Nurses in Fort Drum, NY

Panita Pipatnawin, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-774-5356    
Melissa L Reynolds, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Usa Meddac, 11050 Mt. Belvedere Blvd., Fort Drum, NY 13602
Phone: 315-772-2778    Fax: 315-965-3703
Sarah D Hasko, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10020 Korengal Valley Rd, Fort Drum, NY 13602
Phone: 315-772-2778    
Denise Huerta, NPP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-772-0215    
John Scott Kerns, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11050 Mount Belvedere Blvd, Guthrie Army Health Clinic, Fort Drum, NY 13602
Phone: 315-772-6976    
Michelle S. V. Napper, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone: 315-774-5557    

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