IndividualActive
Jereesha Peacock
NPI 1699433326 · Ambulatory Care Registered Nurse · Kayenta, AZ
Provider details
- NPI number
- 1699433326
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 36163 (WY)
Specialties & taxonomies
Nursing Service Providers
Practice location
Hwy 160 M.p. 394
Kayenta, AZ 86033
Phone: (928) 697-4000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 368
Kayenta, AZ 86033-0368
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2021-11-30
- Certified
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.