Individual provider · Type 1 NPI
Jesse Petrucci
Psychiatric/Mental Health Nurse Practitioner · Atlanta, GA
NPI number
1588373377
Active
Practice location
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Mailing address
7804 Lake Vista Ct Unit 204
Lakewood Ranch, FL 34202-2125
Other practice locations
- 1001 Johnson Fy Rd NE, Atlanta, GA 30342-1605 · (404) 785-5437
- 35 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3032 · (404) 785-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN-NP327584 (GA) |
| Registered Nurse | 163W00000X | RN327584 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1588373377
Jesse Petrucci's National Provider Identifier is 1588373377, issued on Nov 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Atlanta, GA. The record was last updated on Oct 29, 2025.