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.
Individual
DR. JORDAN JAMES PETERSEN
Active
Individual
DR. JORDAN JAMES PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101028465
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
5101028465
MI
Other
Enumeration date
06/14/2021
Last updated
09/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers