Lookup NPI Numbers from the NPI Registry
NPI Profile for JENNIFER R PETRUSKA in BOARDMAN, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI Number | 1154174712 |
|
| Status | Active | |
| Credentials | NNP | |
| Entity | Individual | |
| Enumeration date | 04/11/2024 | |
| Last updated | 08/04/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER R PETRUSKA
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JENNIFER R PETRUSKA, NNP