Jacob Peterson, - Registered Nurse in Everett, WA

Jacob Peterson, is a Registered Nurse - Psychiatric/mental Health based in Everett, Washington. Jacob Peterson is licensed to practice in Washington (license number RN60205170) and his current practice location is 811 Madison St, Everett, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 212-4200.

NPI number for Jacob Peterson is 1720555055 and his current mailing address is Po Box 2569, Everett, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720555055.

Contact Information

Jacob Peterson,
811 Madison St,
Everett, WA 98203-4543
(425) 212-4200
Not Available

Map and Direction




Provider's Profile

Full NameJacob Peterson
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location811 Madison St, Everett, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720555055
  • Provider Enumeration Date: 10/24/2018
  • Last Update Date: 10/24/2018

Medical Identifiers

Medical identifiers for Jacob Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720555055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health RN60205170 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Peterson,
Po Box 2569,
Everett, WA 98213-0569

Ph: () -
Jacob Peterson,
811 Madison St,
Everett, WA 98203-4543

Ph: (425) 212-4200

Reviews and Comments


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