Individual
MS. JULIE BETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
365 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 872-3630
(336) 713-1977
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(704) 872-3630
(336) 713-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5003500
NC
363LF0000X
Family Nurse Practitioner
3171
SC
363LF0000X
Family Nurse Practitioner
5003500
NC
Other
Enumeration date
04/06/2007
Last updated
02/22/2024
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