Individual
EUGENIA ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14395 STATE RT 93, JACKSON, OH 45640
(740) 288-7681
(740) 288-7682
Mailing address
P.O. BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN306869
OH
363LF0000X
Family Nurse Practitioner
Primary
18179-NP
OH
Other
Enumeration date
09/26/2011
Last updated
12/31/2015
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