Individual provider Active NPI

Jennifer Petrunis, BSN, RN

  • Psychiatric/Mental Health Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1962549337
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN702983 Issued in PA
Practice address
520 N Delaware Ave Ste 303
Philadelphia, PA 19123-4228
Phone
(215) 387-3223
Fax
(215) 387-3203
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN702983 PA Primary

Addresses

Primary practice location

520 N Delaware Ave Ste 303
Philadelphia, PA 19123-4228

Mailing address

520 N Delaware Ave Ste 303
Philadelphia, PA 19123-4228
Phone (215) 387-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN702983PAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1962549337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N DELAWARE AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234228",
            "telephone_number": "215-387-3223",
            "fax_number": "215-387-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N DELAWARE AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234228",
            "telephone_number": "215-387-3223",
            "fax_number": "215-387-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUNIS",
        "first_name": "JENNIFER",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN702983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.