Individual
JENNIFER LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1331 MEDICAL CENTER DR STE E, ROHNERT PARK, CA 94928-2900
(215) 285-7644
Mailing address
PO BOX 745, PENNGROVE, CA 94951-0745
(215) 285-7644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19577
CA
Other
Enumeration date
09/17/2007
Last updated
01/23/2026
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