IndividualActive
Jennifer Peterson, M.D.
NPI 1154586071 · Pediatric Critical Care Medicine Physician · Flagstaff, AZ
Provider details
- NPI number
- 1154586071
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 075484 (GA)
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Registry dates
- Enumerated
- 2008-07-21
- Last updated
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.