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

Jennifer Petrucci

Individual provider Physician Assistant · NPI 1104665892

Jennifer Petrucci is a Physician Assistant in Taunton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

88 Washington St
Taunton, MA 02780-2465
Phone: (508) 828-7100
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100469 (MA)

Record details

NPI number1104665892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address88 Washington St, Taunton, MA 02780-2465

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