Individual
JULIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7011 W 121ST ST, LEAWOOD, KS 66209-2009
(913) 677-3553
(913) 677-3282
Mailing address
7011 W 121ST ST STE 105, OVERLAND PARK, KS 66209-2029
(816) 533-5950
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5379126111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
01/07/2020
Last updated
03/15/2026
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