Jennifer L Peano, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Marquette, MI
NPI 1760370985 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1760370985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4704292784 (MI)
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855-4550 - Phone
- (906) 449-3000
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704292784 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
| 16958-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704292784 | MI | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16958-33 | WI |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Mailing address
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3000
Other providers in Marquette, MI
- Pathways Community Mental Health
- Pathways Community Mental Health
- Prashanth Patil
- Andrea M Patrick
- Bruce John Pavlov
- Natalie Pearce
- Wallace George Pearson II
- Pediatric & Adolescent Healthcare Associates, PC
- Rebecca Ann Pedler
- Clayton Austin Peimer
All providers in Marquette, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.