JAYDON MCKINNAH PETERSON APRN NPI 1194594788

NPI Information

NPI: 1194594788
Provider Name: JAYDON MCKINNAH PETERSON, APRN
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
1 MERCY LN STE 401
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 623-5220
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Jaydon Mckinnah Peterson, APRN is a critical care medicine nurse practitioner in Hot Springs, AR. Jaydon Mckinnah Peterson, APRN NPI is 1194594788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MERCY LN STE 401
HOT SPRINGS, AR
ZIP 71913-441
Phone: (501) 623-5220

The NPI 1194594788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/25/2023 and was last updated on 1/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	226537	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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