Individual
JESSICA ERIN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(877) 229-0273
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200134-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
200134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285398
—
WI
Enumeration date
02/09/2015
Last updated
11/14/2024
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