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Melissa Kristine Petersen, NP

Nurse Practitioner, Family in Peachtree City, GA. Individual provider (NPI-1).

NPI number1033001029
StatusActive
Last updated in NPPESOct 14, 2025

Details

NPI
1033001029
Entity type
Individual (NPI-1)
Name
Melissa Kristine Petersen
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2025
Certification date
Oct 14, 2025
Last updated
Oct 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN209021GAYes

Practice location

1401 Georgian Park Ste 200
Peachtree City, GA 30269-6974

Phone 770-632-8909

Mailing address

100 Woodbridge Pl
Brooks, GA 30205-1547

Phone 770-856-2085

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