Individual
SHONNA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
198 ROSS CARTER BLVD, DUFFIELD, VA 24244-5117
(276) 690-7161
(276) 690-7246
Mailing address
4009 SAIL MAKERS WHIP CT, KINGSPORT, TN 37664-7203
(276) 690-7161
(276) 690-7246
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
247251
TN
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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