# DR. JASMINE CHANEL PETERSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568663961
- **Gender:** F
- **Credential:** LNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 0001189020 | VA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024179861 | VA | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 12/14/2022