Individual
JESSICA LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 MANKATO AVE, WINONA, MN 55987-6435
(507) 457-4484
Mailing address
811 W MARK ST, WINONA, MN 55987-2635
(561) 537-0767
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2353425
MN
Other
Enumeration date
12/08/2022
Last updated
03/23/2023
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