Individual
MELISSA JO PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
(919) 862-5400
Mailing address
3404 WAKE FOREST RD, RALEIGH, NC 27609-7340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010247
NC
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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