Anissa Peterson, PA-C

NPI #1093434870 in Jackson, Michigan

Provider Information

NPI Number: 1093434870
Entity Type: Individual
Name: Anissa Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 24, 2022
Last Updated: Oct 6, 2025

Practice Location

Address: 1111 TENEYCK ST STE 100
City: Jackson
State: Michigan
ZIP Code: 49201-2493
Phone: (517) 205-8940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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