Individual provider · Type 1 NPI
Gena Susan Peterson, FNP-C
Psychiatric/Mental Health Nurse Practitioner · Donalsonville, GA
NPI number
1508322926
Active
Practice location
100 Florence Ave
Donalsonville, GA 39845-1135
Fax (229) 524-6038
Mailing address
358 Grimsley Rd
Colquitt, GA 39837-7436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN123548 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN126548 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1508322926
Gena Susan Peterson, FNP-C's National Provider Identifier is 1508322926, issued on Feb 11, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Donalsonville, GA. The record was last updated on Mar 21, 2019.