Petersen, Kizzy Hargett

Petersen, Kizzy Hargett is an individual health care provider with primary practice located at 2002 S Glenburnie Rd Ste 4C , New Bern NC 28562-5230. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Petersen, Kizzy Hargett can be contacted via phone (252) 675-4600.

Contact Information

Primary practice address
2002 S Glenburnie Rd Ste 4C New Bern NC 28562-5230
Phone: (252) 675-4600
Fax: (252) 262-6306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5007734 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5007734 North Carolina

Profile Details

NPI number 1457732414
LBN Legal business name Petersen, Kizzy Hargett
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Dec 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457732414 NPPES
North Carolina MEDICAID 1457732414

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