Individual
MRS. OLIVIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
CHILDREN'S CLINIC PLLC, 221 W. TYRONE RD., OAK RIDGE, TN 37830
(865) 483-6343
(865) 483-1185
Mailing address
CHILDRENS CLINIC PLLC, 221 W. TYRONE RD., OAK RIDGE, TN 37830
(865) 483-6343
(865) 483-1185
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
30576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073147
—
TN
Enumeration date
02/21/2022
Last updated
02/02/2026
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