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General NPI Number Information
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NPI Number | 1104415827
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Entity Type | Individual
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Provider Name | JERREKA PETERSON AGACNP
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Gender | Female
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 524 SOUTHPARK BLVD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-3609
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Country | US
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Telephone | 804-504-7980
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Fax | 804-554-5387
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Provider Business Mailing Address
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Address Line | 524 SOUTHPARK BLVD
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-3609
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Country | US
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Telephone | 804-504-7980
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Fax | 804-554-5387
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024180529
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License Number State | VA
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