LINDA JOYCE PETRUSICK NP
NPI 1588846166
Nurse Practitioner - Pediatrics in Georgetown, SC

Active since December 05, 2007
57 JESSAMINE STREET, GEORGETOWN, SC 29442(843) 546-8686(843) 546-1353 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Linda Joyce Petrusick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINDA JOYCE PETRUSICK NP (NPI 1588846166) is an individual pediatrics provider in Georgetown, South Carolina, licensed in South Carolina (P2239) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1588846166
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLINDA JOYCE PETRUSICKCredential: NP
Location Address57 JESSAMINE STREETGeorgetown, SC 29442
Mailing Address57 Jessamine Street Po Box 618Georgetown, SC 29442 · (843) 546-8686 · Fax (843) 546-1353
Fax(843) 546-1353
Sole ProprietorNo
Enumeration DateDecember 5, 2007
NPI 1588846166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in SC · P2239
57 JESSAMINE STREET, Georgetown, SC 29442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Linda Petrusick's NPI number?

The NPI number for Linda Petrusick is 1588846166. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Linda Petrusick located?

Linda Petrusick practices at 57 Jessamine Street, Georgetown, SC 29442. The listed phone number is (843) 546-8686.

What is Linda Petrusick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Linda Petrusick was last updated on December 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.