Jared Petrick
Psychiatric-Mental Health NP · Coeur D Alene, ID
UnclaimedNPI 1932114618
- Primary taxonomy
- 363LP0808X
- Enumerated
- 2006-07-30
- Practice location
- Coeur D Alene, ID
- Last NPPES update
- 2024-05-01
State licenses
- ID · Nurse practitioner · NPPES self-reportedListed on NPI record
- UT · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.