Individual
GINA GRACE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-AC
Contact information
Practice address
17198 ST LUKES WAY STE 300, THE WOODLANDS, TX 77384-8014
(936) 321-0808
Mailing address
167 E ELM CRES, THE WOODLANDS, TX 77382-1048
(214) 794-8876
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1207882
TX
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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