Individual provider · Type 1 NPI

Kimberly Petetit

Family Nurse Practitioner · Grants Pass, OR

NPI number 1952290876 Active

Practice location

520 SW Ramsey Ave
Grants Pass, OR 97527-5535

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10047790 (OR)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1952290876

Kimberly Petetit's National Provider Identifier is 1952290876, issued on Jul 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 22, 2025.