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Individual
JENNIFER DOROTHEA PETERS
Active
Individual
JENNIFER DOROTHEA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
663212
CA
363LF0000X
Family Nurse Practitioner
Primary
17826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17826
NURSE PRACTITIONER CERTIFICATE
CA
01
—
663212
RN LICENSE
CA
01
—
69543
PUBLIC HEALTH NURSE CERTIFICATE
CA
01
—
F1207048
AANP CERTIFICATION
CA
Enumeration date
11/07/2009
Last updated
11/07/2009
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