Tiffani Petersen

NP | Nurse Practitioner - Psych/Mental Health | 6+ years Exp

395 W Cougar Blvd Ste 601, Provo
  Utah, 84604-3331
801-357-7525
Accepts Medicare Nurse Practitioner in Provo, Utah.
Tiffani Petersen is a Provo, Utah based nurse practitioner with 6 years of experience as Psych/Mental Health NP. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tiffani Petersen is 7453288-4405 for Psych/Mental Health NP in Utah. Her current practice location is 395 W Cougar Blvd Ste 601, Provo. Patients can reach her at 801-357-7525. Tiffani Petersen is NP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1255968681.
Tiffani Petersen provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Tiffani Petersen speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tiffani Petersen
Specialization: Nurse Practitioner - Psych/Mental Health (PMHNP)
Gender:Female
Credentials: NP
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:395 W Cougar Blvd Ste 601, Provo,
Utah, 84604-3331
Phone:801-357-7525
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9234546177
Enrollment ID: I20210322001120
NPI Number: 1255968681
NPI Enumeration Date: 25 Mar, 2020
NPI Last Update On: 27 Jan, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tiffani Petersen are as mentioned below.
License NumberSpecializationStateStatus
7453288-4405Psych/Mental Health NP UtahPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Tiffani Petersen is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Intermountain Healthcare Services, Inc (1850209420)2442
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tiffani Petersen
Po Box 27128,
Salt Lake City, Utah
Zip: 84127-0128
Phone Number: 801-357-7525
Patients can reach Tiffani Petersen at 395 W Cougar Blvd Ste 601, Provo, Utah or can call to book an appointment on 801-357-7525.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.