Dedrick, Jesse

Dedrick, Jesse is an individual health care provider with primary practice located at 3800 S W S Young Dr Suite 201, Killeen TX 76542-3311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dedrick, Jesse can be contacted via phone (254) 245-9175.

Contact Information

Primary practice address
3800 S W S Young Dr Suite 201 Killeen TX 76542-3311
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 669176 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP125603 Texas

Profile Details

NPI number 1609281591
LBN Legal business name Dedrick, Jesse
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Feb 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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