Individual
JENNIFER L PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 PRINGLE WAY STE 706, RENO, NV 89502-1472
(775) 982-3900
(775) 982-5000
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5000
(775) 892-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1207
NV
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14927053
CAQH NUMBER
NV
01
—
PA1207
PAC NUMBER
NV
Enumeration date
01/18/2010
Last updated
05/08/2025
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