Jennifer Lynne Peters, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

483662 Issued in CA

Practice address

12700 Stowe Dr Ste 110
Poway, CA 92064-8875

Phone

(760) 703-2739

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1710674890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 HAMPSON PL",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654216",
            "telephone_number": "760-703-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 STOWE DR STE 110",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920648875",
            "telephone_number": "760-703-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "483662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gissell Perez
• Kelsey Michelle Perez
• Julie Perkins, AAHCC
• Jocelyn Perpuly
• Peter a. Rich, D.M.D. Inc.
• Banafsheh Pezeshk, PSY.D.
• Gem T Pham, DDS
• Hanh My Pham, DDS
• Kevin Pham
• Philip Wrotslavsky, DPM, a Professional Corporation (Advanced Foot and Ankle Center of San Diego)

• Registered Nurse in Poway, CA
• Providers in Poway, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.