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Individual
DR. JASMINE CHANEL PETERSON
Active
Individual
DR. JASMINE CHANEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNP
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0001189020
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024179861
VA
Other
Enumeration date
05/31/2007
Last updated
12/14/2022
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