Search › Wisconsin › 363A00000X
Jessica Peterson, PAC
NPI 1851388250 · on the registry since 2005
Practice
- Address
- 218 S Us Highway 141
Ste 100
Crivitz, WI 54114 - Phone
- (715) 854-7477
- Fax
- (715) 854-7785
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin