Jessica Ann Peterson (NPI# 1578014726, PAC ID# 4082994553) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1578014726 |
| PAC ID by PECOS | 4082994553 |
| Professional Enrollment ID | I20161130000425 |
| Full Name | Jessica Ann Peterson |
| Organization Legal Name | STATE OF MISSOURI |
| Address |
600 E 5th St Fulton State Hospital Fulton MO 65251-1793 |
| Phone Number | 5735924100 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1456254226 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 | 5735924100 | STATE OF MISSOURI |
| Organization Legal Name | STATE OF MISSOURI |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelynn R Crawford | Nurse Practitioner | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
| Erich Haezebrouck | Psychologist, Clinical | State of Missouri | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 |
| Ralph Leigh | Emergency Medicine | State of Missouri | 1010 W Columbia St, Farmington, MO 63640-2902 |
| Mark A Felchlia | Psychologist, Clinical | State of Missouri | 5300 Arsenal St, Saint Louis, MO 63139-1463 |
| Preston B Howerton | Internal Medicine | State of Missouri | 1547 Commerce Dr, Marshall, MO 65340-3907 |
| Sridevi Gavirneni | Psychiatry | State of Missouri | 10695 Bellefontaine Rd, Saint Louis, MO 63137-2315 |
| Lewis Peck Shilane | Family Practice | State of Missouri | 2041 E Hunter St Ab, Nevada, MO 64772-8478 |
| Amalakumar Dominic Augustine | Internal Medicine | State of Missouri | 22 Marr Ln, Saint Charles, MO 63303-9000 |
| Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| William R Enochs | Psychiatry | State of Missouri | 3505 Frederick Ave, Saint Joseph, MO 64506-2914 |
| Street Address |
600 E 5TH ST FULTON STATE HOSPITAL |
| City | FULTON |
| State | MO |
| Zip | 65251-1793 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan G Christensen | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 600 E 5th St, Des Moines, IA 50309-5418 |
| Brandy Baczwaski | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Lee Ann Mcvay | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Alicia Loraine Pardee | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Kayla Collier | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Jennie L Brooks | Psychologist, Clinical | State of Missouri | 600 E 5th St, Fulton State Hospital, Fulton, MO 65251-1793 |
| Ken L Cheyne | Pediatric Medicine | Central Iowa Hospital Corporation | 600 E 5th St, Des Moines, IA 50309-5418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Hoselton | Chiropractic | 710 S Business, Suite 54, Fulton, MO 65251-1403 | |
| Adam Kolin Kramer | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Bryce D Koelling | Chiropractic | Koelling Family Chiropractic PC | 621 Commons Dr, Fulton, MO 65251-1489 |
| Sharon K Batek | Optometry | 405 Court St, Fulton, MO 65251-1724 | |
| James William Vann I | Optometry | 614 Market St, Fulton, MO 65251-1983 | |
| Amy K Green | Chiropractic | 308 Meadowlark Ln, Fulton, MO 65251-2458 | |
| Katherine L Osborn | Optometry | International Eyecare Center, Inc | 1877 A N Bluff St, Fulton, MO 65251-2465 |
| Sarmistha Bhalla | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Elizabeth A Lambird | Family Medicine | Fulton Medical Center LLC | 10 S Hospital Dr, Callaway Community Hospital, Fulton, MO 65251-2510 |
| Syed Imam | Psychiatry | Refound Psychiatry Services LLC | 10 S Hospital Dr, Fulton, MO 65251-2510 |
| Find all physicians in zip 65251 | |||
| City | FULTON |
| Zip Code | 65251 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FULTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jessica Ann Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.