Individual
JANN M FORD PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3624 N POWER RD, MESA, AZ 85215-9733
(602) 755-0800
(602) 560-2721
Mailing address
PO BOX 24981, BELFAST, ME 04915-2000
(844) 969-0686
(773) 832-7083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP8132
AZ
363LF0000X
Family Nurse Practitioner
AP8132
AZ
363LF0000X
Family Nurse Practitioner
Primary
APRN8132
AZ
Other
Enumeration date
09/25/2015
Last updated
06/15/2023
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