MICHELLE ANNMARIE JACKSON PETERSEN

ASTORIA, NY
NPI1205548443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F348839-01)
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
Mrs. MICHELLE ANNMARIE JACKSON PETERSEN NP
2322 30TH RD STE 1A
ASTORIA, NY 11102-3238
Phone number: 667-326-9198
Mailing Address
Mrs. MICHELLE ANNMARIE JACKSON PETERSEN NP
21917 130TH DR
SPRINGFIELD GARDENS, NY 11413-1220
Phone number: 718-276-2651
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