Kerry Scruggs is a Nurse Practitioner in Tyler, Texas. Kerry Scruggs practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kerry Scruggs is 1922080076. The last update date is 2008-09-03.
Kerry Scruggs's current location address is 3310 Patriot Dr, Tyler, Texas. You can contact this provider via phone number 9038777777. The mailing address for Kerry Scruggs is 3310 Patriot Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Scruggs |
|---|---|
| Address | 3310 Patriot Dr, Tyler, Texas |
| Phone Number | 9038777777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1922080076 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2008-09-03 |
Provider Mailing Address Detail
| Address | 3310 Patriot Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757016606 |
| Phone Number | 9038777777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 534901 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 154069202 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kerry Scruggs?
The Kerry Scruggs has been issued the NPI (National Provider Identifier) 1922080076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kerry Scruggs's facilities are geographically located?
The facilities of Kerry Scruggs are physically situated at the following location: 3310 Patriot Dr, Tyler, TX, 757016606.
What is Kerry Scruggs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kerry Scruggs's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date was the 1922080076 assigned to Kerry Scruggs?
The Kerry Scruggs was issued its 1922080076 on 2005-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kerry Scruggs most recently updated or refreshed?
The details pertaining to the Kerry Scruggs, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-03.