Provider Demographics
NPI:1306316633
Name:PEIGHTON'S PLACE LLC
Entity type:Organization
Organization Name:PEIGHTON'S PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:812-589-4271
Mailing Address - Street 1:12100 HIGHWAY 41 N STE 1
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7032
Mailing Address - Country:US
Mailing Address - Phone:812-868-7440
Mailing Address - Fax:
Practice Address - Street 1:12100 HIGHWAY 41 N STE 1
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7032
Practice Address - Country:US
Practice Address - Phone:812-868-7440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty