Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER REBECCA PETRUSKA, NNP
Active Sole ProprietorJENNIFER REBECCA PETRUSKA, NNP is a Neonatal Nurse Practitioner healthcare provider located in BOARDMAN, Ohio. NPI 1154174712 is currently active in the NPPES registry. Verify at CMS.
Neonatal Nurse Practitioner · BOARDMAN, OH
Registration Details
- NPI Number
- 1154174712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 11, 2024 (2.3110381066587 yrs)
- Last Updated
- Aug 4, 2024
- Licenses
-
RN.390544 (OH)APRN.CNP.0037112 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8401 MARKET STBOARDMAN, OH, 445126725Browse OH providers · Browse ZIP 44512
- Phone
- 3307294250
- Primary Specialty
-
Neonatal Nurse Practitioner
363LN0000X
- Additional Specialty
- Neonatal Nurse Practitioner
Other Neonatal Nurse Practitioner Providers in BOARDMAN, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. REGINA M O'LEARY | CRNP | 1114064128 |
| GINA MEENACHAN | — | 1245857739 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.