Individual provider · Type 1 NPI
Linda Joyce Petrusick, NP
Pediatric Nurse Practitioner · Georgetown, SC
NPI number
1588846166
Active
Practice location
57 Jessamine Street
Georgetown, SC 29442
Fax (843) 546-1353
Mailing address
57 Jessamine Street PO Box 618
Georgetown, SC 29442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | P2239 (SC) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Georgetown
About NPI 1588846166
Linda Joyce Petrusick, NP's National Provider Identifier is 1588846166, issued on Dec 5, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Georgetown, SC. The record was last updated on Dec 5, 2007.