IndividualActive
Jennifer Peacock, DNP, APRN, NNP-BC
NPI 1336513704 · Neonatal Clinical Nurse Specialist · Riverton, UT
Provider details
- NPI number
- 1336513704
- Entity type
- Individual
- Primary specialty
- Neonatal Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN, NNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 289188-4405 (UT)
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2015-11-22
- Last updated
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.