Individual
JACQUELYN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
AMPHITHEATER PUBLIC SCHOOLS, 701 W. WETMORE RD TUCSON, TUCSON, AZ 85705-3350
(520) 696-5234
(520) 696-5067
Mailing address
AMPHITHEATER PUBLIC SCHOOLS, 701 W. WETMORE RD TUCSON, TUCSON, AZ 85705-3350
(520) 696-5234
(520) 696-5067
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
239125
AZ
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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