Individual provider · Type 1 NPI

Carol Jean Peterson, APNP

Nurse Practitioner · Green Bay, WI

NPI number 1023309804 Active

Practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Fax (920) 445-7238

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4378-033 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023309804

Carol Jean Peterson, APNP's National Provider Identifier is 1023309804, issued on Apr 27, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 5, 2015.