Individual
MS. JENIFER R. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2654
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
930
SC
363A00000X
Physician Assistant
Primary
PA930
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287PA
—
SC
01
—
AA06356910
MEDICARE PTAN
SC
Enumeration date
06/28/2006
Last updated
02/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us