MRS. Michelle Annmarie Jackson Petersen, NP

NPI #1205548443 in Astoria, New York

Provider Information

NPI Number
1205548443
Entity Type
Individual
Name
MRS. Michelle Annmarie Jackson Petersen, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Dec 20, 2022
Last Updated
Oct 30, 2024

Practice Location

Address
2322 30TH RD STE 1A
ZIP Code
11102-3238
Phone
(667) 326-9198

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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