Provider Demographics
NPI:1043508245
Name:PETERS, JESSICA SEAY (NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:SEAY
Last Name:PETERS
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:FRANCES
Other - Last Name:SEAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:530 TILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533-6331
Mailing Address - Country:US
Mailing Address - Phone:850-686-9297
Mailing Address - Fax:
Practice Address - Street 1:1004 SCENIC HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-6617
Practice Address - Country:US
Practice Address - Phone:850-466-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9258777363LF0000X
FLARNP9258777363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatalGroup - Single Specialty