Individual
MS. JACQUELINE A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 WOLVERINE TRL, SUITE 100, SMYRNA, TN 37167-5656
(615) 459-6700
(615) 459-0068
Mailing address
301 WOLVERINE TRL, SUITE 100, SMYRNA, TN 37167-5656
(615) 459-6700
(615) 459-0068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000006824
TN
363LP0200X
Pediatric Nurse Practitioner
APN0000006824
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908400
—
TN
Enumeration date
05/31/2006
Last updated
02/05/2008
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