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Jessica Nicole Peterein
Student in an Organized Health Care Education/Training Program in Fenton, Missouri
NPI 1528756020

Jessica Nicole Peterein is a Student in an Organized Health Care Education/Training Program based in Fenton, MO. Jessica Nicole Peterein practices in Fenton, MO. The NPI Number for Jessica Nicole Peterein is 1528756020 and holds a License No. (Missouri).

The current practice location address for Jessica Nicole Peterein is 940 San Sebastian Dr, Fenton, MO and can be reached out via phone at 636-764-0527.

Location: 940 San Sebastian Dr, Fenton, MO, 63026-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528756020
Provider Name
Jessica Nicole Peterein
Credential
Provider Entity Type
Individual
Gender
Female
Address
940 San Sebastian Dr, Fenton, MO, 63026-3037
Phone Number
636-764-0527
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 San Sebastian Dr
City
Fenton
State
Missouri
Zip
63026-3037
Phone Number
636-764-0527
Fax Number
person
Provider Business Mailing Address Details
Address
940 San Sebastian Dr
City
Fenton
State
Missouri
Zip
63026-3037
Phone Number
636-764-0527
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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