Individual
JESSICA DWAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, PES
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(904) 256-7678
(904) 256-7424
Mailing address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(904) 256-7678
(904) 256-7424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2042
FL
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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