Jesse Dedrick, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Killeen, TX
- NPI
- 1609281591
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- AP125603 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-06-30
- Last updated
- 2025-02-12
Practice location
3800 S W S Young Dr, Suite 201
Killeen, TX 76542-3311
(254) 245-9175