Individual provider · Type 1 NPI

Kelly Peterson, APRN

Nurse Practitioner · Fort Sam Houston, TX

NPI number 1639787872 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1130715 (TX)
Military Health Care Provider 171000000XNone listed

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 1639787872

Kelly Peterson, APRN's National Provider Identifier is 1639787872, issued on Jul 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Sep 16, 2024.