Individual
MRS. JENNIFER LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
614 MICHIGAN AVE W, WALKER, MN 56484-2276
(218) 547-7700
(320) 219-7149
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1408449
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP0445
MN
363LF0000X
Family Nurse Practitioner
R 140844-9
MN
Other
Enumeration date
07/30/2013
Last updated
05/14/2025
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