National Provider Identifier
Krista Leigh Petry, FNP
Krista Leigh Petry, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Jamestown, NY and a listed phone number of (716) 661-1447.
Profile Overview
- NPI
- 1487118782
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- January 31, 2019
- Last Updated
- April 16, 2021
Practice Location
- 890 E 2Nd St
- Jamestown, NY 14701-3824
Phone: (716) 661-1447
Mailing Address
- 4720 Baker St
- Lakewood, NY 14750-9772
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1487118782
- Entity Type
- Individual
- Last Name
- Petry
- First Name
- Krista
- Middle Name
- Leigh
- Credential
- FNP
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Krista
- Provider Other Middle Name
- Leigh
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4720 Baker St
- Mailing City
- Lakewood
- Mailing State
- NY
- Mailing ZIP Code
- 14750-9772
- Mailing Country
- US
- Mailing Phone
- (716) 456-2149
- Practice Street Address
- 890 E 2Nd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-3824
- Practice Country
- US
- Practice Phone
- (716) 661-1447
- Enumeration Date
- January 31, 2019
- Last Updated
- April 16, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)