Individual
JA NAE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
188 N STATE ST, MORGAN, UT 84050-8001
(801) 721-9163
Mailing address
188 N STATE ST, MORGAN, UT 84050-8001
(801) 721-9163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214488-4405
UT
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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