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Individual
JENNIFER J. PEACOCK
Active
Individual
JENNIFER J. PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
289188-4405
UT
Other
Enumeration date
11/22/2015
Last updated
09/29/2021
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