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Christy M. Henderson-peterson, NP
Licensed Practical Nurse in Stockton, California
NPI 1609957190

Christy M. Henderson-peterson is a Licensed Practical Nurse based in Stockton, CA. Christy M. Henderson-peterson practices in Stockton, CA and has the professional credentials of NP. The NPI Number for Christy M. Henderson-peterson is 1609957190 and holds a License No. NP11839 (California).

The current practice location address for Christy M. Henderson-peterson is 1721 Hammer Lane Suite A, Stockton, CA and can be reached out via phone at 209-751-5200.

Location: 1721 Hammer Lane Suite A, Stockton, CA, 95201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609957190
Provider Name
Christy M. Henderson-peterson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1721 Hammer Lane Suite A, Stockton, CA, 95201
Phone Number
209-751-5200
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP11839 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
1721 Hammer Lane Suite A
City
Stockton
State
California
Zip
95210-4116
Phone Number
209-751-5200
Fax Number
person
Provider Business Mailing Address Details
Address
1721 Hammer Lane Suite A
City
Stockton
State
California
Zip
95210-4116
Phone Number
209-751-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
NP11839 (California)
Definition
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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