Individual
JEDIDIAH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ROPE FERRY RD # HB6143, HANOVER, NH 03755-1421
(603) 646-9400
Mailing address
7 ROPE FERRY RD # HB6143, HANOVER, NH 03755-1421
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
060805-21
NH
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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