Individual
MRS. JESSICA LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1626086
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994416-NP
CO
363LF0000X
Family Nurse Practitioner
RXN.0103823-NP
CO
Other
Enumeration date
04/10/2019
Last updated
08/30/2021
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