Dr. Jacqueline Bernadine Petravage, MD
Dr. Jacqueline Bernadine Petravage, MD is a Psychiatry Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Veteran's Hospital 500 Foothill Blvd Bldg 47Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2544
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 1664161205 (UT) |
|---|
Record details
| NPI number | 1104861079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 17, 2006 |
| Last updated in NPPES | July 13, 2026 |
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