Peterson, Brianne Luisa

Peterson, Brianne Luisa is an individual health care provider with primary practice located at 5220 Belfort Rd Ste 130 , Jacksonville FL 32256-6018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Peterson, Brianne Luisa can be contacted via phone (904) 446-3686.

Contact Information

Primary practice address
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018
Phone: (904) 446-3686
Fax: (904) 446-3032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ARNP9215209 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9215209 Florida

Profile Details

NPI number 1609015544
LBN Legal business name Peterson, Brianne Luisa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2009
Last updated Feb 7th, 2020 - about 5 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 1609015544 NPPES
Other P00718850 MEDICARE RAILROAD
MEDICAID 309069419A MEDICARE RAILROAD
MEDICAID 000848800 MEDICARE RAILROAD

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