Individual provider · Type 1 NPI

Judy Lynn Petermann, APN

Family Nurse Practitioner · Fayetteville, AR

NPI number 1114948056 Active

Practice location

1100 N College Ave
Fayetteville, AR 72703-1944

Fax (479) 587-5822

Mailing address

3885 Tara St
Springdale, AR 72762-7947

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAO1621 (AR)

Family Nurse Practitioner: Definition to come...

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About NPI 1114948056

Judy Lynn Petermann, APN's National Provider Identifier is 1114948056, issued on Jul 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 9, 2007.