Jaclyn Annette Petersen MSW

  • NPI 1780273102
According to our database, the NPI number for Jaclyn Annette Petersen MSW is 1780273102 and activated since 3 years ago. Jaclyn Annette Petersen MSW is an individual provider who specializes in Clinical, and the primary practice location is 309 W Clark St, Champaign, IL 61820. You can also contact Jaclyn Annette Petersen MSW via telephone number is (217) 398-9066. Provider NPI information was last updated on 01/11/2021.

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Overview of Jaclyn Annette Petersen MSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/11/2021
  • Last updated: 01/11/2021

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149.022485
  • License State: IL

Provider Mailing Address

  • Address: 309 W Clark St
    Champaign, IL 61820
  • Phone: 217-398-9066
  • Fax: 217-398-9077

Provider Practice Location

  • Address: 309 W Clark St
    Champaign, IL 61820
  • Phone: 217-398-9066
  • Fax: 217-398-9077

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jaclyn Annette Petersen MSW?
  • A: The npi number for Jaclyn Annette Petersen MSW is 1780273102.
  • Q: What are Jaclyn Annette Petersen MSW's specialties?
  • A: Jaclyn Annette Petersen MSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jaclyn Annette Petersen MSW?
  • A: The medical license number for Jaclyn Annette Petersen MSW is 149.022485 and issued in IL in USA.
  • Q: Where is Jaclyn Annette Petersen MSW practice location?
  • A: Jaclyn Annette Petersen MSW is practicing at 309 W Clark St, Champaign, IL 61820.
  • Q: How to contact Jaclyn Annette Petersen MSW?
  • A: You can contact Jaclyn Annette Petersen MSW via 217-398-9066.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Sports Physician
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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