Individual
MRS. KRISTIN TAYLOR PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
1114 DECATUR CONEHATTA RD, CONEHATTA, MS 39057-9408
(601) 416-1729
(601) 416-1729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904467
MS
Other
Enumeration date
03/02/2021
Last updated
08/24/2021
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