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KRYSTAL LYNN JERRY MD NPI 1376833673


NPI Information

NPI: 1376833673
Provider Name: KRYSTAL LYNN JERRY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
490 IH 10 N STE 100
BEAUMONT, TX
ZIP 77702
Phone: (409) 212-9988
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Krystal Lynn Jerry, MD is a pediatrics in Beaumont, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Krystal Lynn Jerry, MD NPI is 1376833673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

490 IH 10 N STE 100
BEAUMONT, TX
ZIP 77702-819
Phone: (409) 212-9988

The enumeration date for this NPI number is 4/8/2011 and was last updated on 5/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsP9207TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.