# DR. JESSICA LYNN PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093331126
- **Gender:** F
- **Credential:** ND, LAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 84000210A | IN | Yes |
| 175F00000X | Naturopath | 099.0134092 | VT | — |

## Other

- **Enumeration date:** 06/24/2020
- **Last updated:** 06/24/2020