Individual
KELLY LEIGH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
2200 CHILDRENS WAY MONROE CARELL JR, DOCTOR'S OFFICE TOWER, 7TH FLOOR, SUITE 7100, NASHVILLE, TN 37232-0001
(615) 936-1050
Mailing address
1510 DEMONBREUN ST, APT 1012, NASHVILLE, TN 37203-3182
(406) 531-2943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19462
TN
Other
Enumeration date
01/16/2015
Last updated
02/22/2016
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