Individual provider · Type 1 NPI
Marla Jo Peterson
Registered Nurse · Wilmington, NC
Practice location
6417 Berridge Dr
Wilmington, NC 28412-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 0001079326 (VA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1740107630
Marla Jo Peterson's National Provider Identifier is 1740107630, issued on Jul 1, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 1, 2026.