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Individual
JANE IVORY PETRIE
Active
Individual
JANE IVORY PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
651984
CA
363LF0000X
Family Nurse Practitioner
Primary
18361
CA
Other
Enumeration date
11/18/2008
Last updated
04/07/2025
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