JESSE PETRUCCI

ATLANTA, GA
NPI1588373377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  GAA-NP001749)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  266107)
Enumeration Date2022-11-21
Last Update Date2023-10-12
Business Address
JESSE PETRUCCI
1405 CLIFTON RD NE
ATLANTA, GA 30322-1104
Phone number: 404-785-5437
Mailing Address
JESSE PETRUCCI
7804 LAKE VISTA CT UNIT 204
LAKEWOOD RANCH, FL 34202-2125
Phone number: 631-495-3780