Peterson, Faneshia

Peterson, Faneshia is an individual health care provider with primary practice located at 4475 W Village Pkwy , Ellenwood GA 30294-2869. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peterson, Faneshia can be contacted via phone (770) 507-7950.

Contact Information

Primary practice address
4475 W Village Pkwy Ellenwood GA 30294-2869
Phone: (770) 507-7950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN-NP259066 Georgia
Nursing Service Providers / Registered Nurse 163W00000X 259066 Georgia

Profile Details

NPI number 1942898473
LBN Legal business name Peterson, Faneshia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2021
Last updated Nov 1st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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