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Individual

JENNIFER PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1959 NE PACIFIC ST, BOX 356410, SEATTLE, WA 98195-0001
(206) 543-3093
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN60166554
WA
363LA2100X
Acute Care Nurse Practitioner
RN60166554
WA
363LA2200X
Adult Health Nurse Practitioner
RN60166554
WA

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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