What is Jennifer Petersen's NPI number?

Jennifer Petersen's National Provider Identifier (NPI) is 1417308578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jennifer Petersen's specialty?

Jennifer Petersen is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Jennifer Petersen located?

Jennifer Petersen's practice location on file with NPPES is 417 Grove St, Sullivan, WI 53178-9770.

What is Jennifer Petersen's phone number?

The practice phone number listed in the NPPES registry for Jennifer Petersen is (920) 988-3499.

Is Jennifer Petersen's NPI active?

Yes — Jennifer Petersen's NPI (1417308578) is active in the NPPES registry as of the last update on 2016-06-29.

IndividualActive

Jennifer Petersen, LPN

NPI 1417308578 · Licensed Practical Nurse · Sullivan, WI

Jennifer Petersen, LPN is a Licensed Practical Nurse provider in Sullivan, WI (NPI 1417308578).

Provider details

NPI number: 1417308578
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 31454231 (WI)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 31454231 (WI)
Nursing Service Providers

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

417 Grove St

Sullivan, WI 53178-9770

Phone: (920) 988-3499

Street-level locationGet directions

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Mailing address