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

Mrs. Jessica R Petrick, NP

Individual provider Pediatrics Physician · NPI 1417671165

Mrs. Jessica R Petrick, NP is a Pediatrics Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

655 Madison St
Syracuse, NY 13210
Phone: (315) 473-8700
Fax: (315) 473-8707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 383447 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 383447 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 383447 (NY)

Record details

NPI number1417671165
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESNovember 7, 2024
Certification dateSeptember 27, 2022

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