IndividualActive
Christy Henderson-Peterson, N.P.
NPI 1609957190 · Licensed Practical Nurse · Stockton, CA
Provider details
- NPI number
- 1609957190
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- NP11839 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1721 Hammer Lane Suite a
Stockton, CA 95210-4116
Phone: (209) 751-5200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 779
Stockton, CA 95201
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2013-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.