Individual
ERIC PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1200 GALLATIN PIKE S, MADISON, TN 37115-4613
(615) 868-2150
Mailing address
1200 GALLATIN PIKE S, MADISON, TN 37115-4613
(615) 868-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28050
TN
Other
Enumeration date
10/05/2020
Last updated
10/29/2020
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