| Mrs Jacqueline M Peterson, | |
|
3 Alumni Dr Ste 401, Exeter, NH 03833-2123 | |
| (603) 778-0557 | |
| (603) 778-1669 |
| Full Name | Mrs Jacqueline M Peterson |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 3 Alumni Dr Ste 401, Exeter, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972960110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 072928-23 (New Hampshire) | Secondary |
| 367A00000X | Advanced Practice Midwife | 072928-23 (New Hampshire) | Primary |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Entity Name | Core Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336330588 PECOS PAC ID: 2769563253 Enrollment ID: O20080123000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline M Peterson, 7 Holland Way Fl 1, Exeter, NH 03833-2997 Ph: (603) 778-0557 | Mrs Jacqueline M Peterson, 3 Alumni Dr Ste 401, Exeter, NH 03833-2123 Ph: (603) 778-0557 |
Kasey Plourde, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3 Alumni Dr Ste 401, Exeter, NH 03833 Phone: 603-778-0557 Fax: 603-778-1669 | |
Linnea Erica Malm, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3 Alumni Dr Ste 401, Exeter, NH 03833 Phone: 603-778-0557 Fax: 603-778-1669 | |
Courtney E Coffey, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3 Alumni Dr Ste 401, Exeter, NH 03833 Phone: 603-778-0557 Fax: 603-778-1669 |