Michelle A. Jackson Petersen, NP
Family NP · Astoria, NY
UnclaimedNPNPI 1205548443
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2022-12-20
- Practice location
- Astoria, NY
- Last NPPES update
- 2024-10-30
State licenses
- NY · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.