Individual
JESSICA JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144700
WI
Other
Enumeration date
11/10/2009
Last updated
12/30/2020
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