Individual
KIZZY HARGETT PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
2002 S GLENBURNIE RD STE 4C, NEW BERN, NC 28562-5230
(252) 675-4600
(252) 262-6306
Mailing address
PO BOX 14920, NEW BERN, NC 28561-4920
(252) 675-4600
(252) 262-6306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5007734
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5007734
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457732414
—
NC
Enumeration date
06/16/2015
Last updated
12/06/2021
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