Individual
JENNIFER REBECCA PETRUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4250
Mailing address
6819 PINERIDGE CT, AUSTINTOWN, OH 44515-5557
(330) 207-5002
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN.390544
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.0037112
OH
Other
Enumeration date
04/11/2024
Last updated
08/04/2024
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