Individual provider · Type 1 NPI

Christy M. Henderson-Peterson, N.P.

Licensed Practical Nurse · Stockton, CA

NPI number 1609957190 Active

Practice location

1721 Hammer Lane Suite A
Stockton, CA 95210-4116

Mailing address

PO Box 779
Stockton, CA 95201

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XNP11839 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1609957190

Christy M. Henderson-Peterson, N.P.'s National Provider Identifier is 1609957190, issued on Oct 18, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Stockton, CA. The record was last updated on Feb 1, 2013.