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CAROL JEAN PETERSON APNP
NPI 1023309804
Nurse Practitioner in Green Bay, WI

Active since April 27, 2011
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 445-7222(920) 445-7238 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol Jean Peterson Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL JEAN PETERSON APNP (NPI 1023309804) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (4378-033) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1023309804
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL JEAN PETERSONCredential: APNP
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 445-7222 · Fax (920) 445-7238
Phone(920) 445-7222
Fax(920) 445-7238
Sole ProprietorNo
Enumeration DateApril 27, 2011
Last NPPES UpdateJune 5, 2015
✔ NPI 1023309804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 4378-033
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

744 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Former Name (1)Carol Jean Devine Apnp

Other Identifiers 9

Medicare OSCAR/certification007170064WI
Medicare OSCAR/certification075100136WI
Medicare OSCAR/certification078450064WI
Medicare PIN07028WI
Medicare OSCAR/certification430751201WI
Medicare OSCAR/certification590050059WI
Medicare OSCAR/certificationWI1119014WI
Medicare OSCAR/certification8002100039WI
Medicare OSCAR/certification71700064WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY ANN MOTQUIN
Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 445-7226
DR. PAMELA RANI SUD MD
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7451
CALEY PETERS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5696
YONGSUB CHOI
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
CORINNE ELIZABETH GEORGE APNP
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
STEVEN THANH HO CAA
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3605
JAMIE LYNN MOSUPYE O.T.
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7823
MIRANDA MARIE HINTZ APNP
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Peterson's NPI number?

The NPI number for Carol Peterson is 1023309804. It was assigned to this individual provider in the NPPES registry on April 27, 2011. The provider is also known as Carol Jean Devine Apnp.

Where is Carol Peterson located?

Carol Peterson practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 445-7222.

What is Carol Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Carol Peterson was last updated on June 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.