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Individual
MS. JULIA PETERSON
Active
Individual
MS. JULIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277004915
IL
364SE0003X
Emergency Clinical Nurse Specialist
Primary
209006772
IL
364SE0003X
Emergency Clinical Nurse Specialist
277004915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006772
STATE LICENSE
IL
Enumeration date
01/28/2008
Last updated
05/12/2026
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