Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Lynn Petersen, FNP

Individual provider Family Nurse Practitioner · NPI 1114249810

Stephanie Lynn Petersen, FNP is a Family Nurse Practitioner in Charleston, South Carolina. Licensed in South Carolina and Washington. Registered with an NPI since 2010.

Licensed in
SC, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0100
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22348 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP60633476 (WA)

Record details

NPI number1114249810
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 22, 2010
Last updated in NPPESNovember 28, 2018

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