Individual
JEANNE PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-8618
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6389
(570) 271-6021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007249
FL
363L00000X
Nurse Practitioner
RN737647
PA
363LA2100X
Acute Care Nurse Practitioner
SP023170
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115992700
—
FL
01
—
9RR5M
BCBS
FL
Enumeration date
08/03/2020
Last updated
07/29/2026
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