Individual
MRS. JENNIFER LYNNE PETERSON HIGHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
844 W NYE LN STE 104, CARSON CITY, NV 89703-1571
(775) 882-3937
Mailing address
157 ANTIGUA CT, RENO, NV 89511-2717
(775) 722-3779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
486
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502286
—
NV
Enumeration date
07/11/2005
Last updated
04/02/2024
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