Peterson, Janette R.

Peterson, Janette R. is an individual health care provider with primary practice located at 2333 Knob Creek Rd Suite 16, Johnson City TN 37604-2007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Janette R. can be contacted via phone (423) 975-0764.

Contact Information

Primary practice address
2333 Knob Creek Rd Suite 16 Johnson City TN 37604-2007
Phone: (423) 975-0764
Fax: (423) 975-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN100385 APN7001 Tennessee

Profile Details

NPI number 1811983844
LBN Legal business name Peterson, Janette R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 6th, 2009 - about 15 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 1811983844 NPPES
Tennessee MEDICAID 3905357

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