Individual
MRS. JESSICA SIKKEMA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP-BC
Contact information
Practice address
600 N WOLFE ST, HALSTEAD 600, BALTIMORE, MD 21287-0005
(410) 502-1048
Mailing address
1113 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(410) 547-5314
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R171199
MD
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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