Individual
JENNIFER H PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0554
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
200100181
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
35082851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639261183
—
NC
Enumeration date
09/29/2006
Last updated
02/28/2023
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