Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Petrick

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932114618

Jared Petrick is a Psychiatric/Mental Health Nurse Practitioner in Coeur D Alene, Idaho. Works from 3 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone: (208) 625-4870
Fax: (208) 625-4878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 — (208) 625-4870
  • 90 E 200 N, Logan, UT 84321-0689 — (435) 752-0570

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP60612 (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 357288-4408 (UT)

Record details

NPI number1932114618
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

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