MEDICARE: JERICA DYKES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	57445	TX
2	374J00000X	Doula

General Provider Information

NPI Number	:	1467384529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERICA DYKES

Provider Business Mailing Address
First Line	:	17905 QUITMAN MOUNTAIN WAY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7232
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17905 QUITMAN MOUNTAIN WAY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-7232
Country	:	US
Telephone Number	:	512-765-4387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ JERICA DYKES ” Practice Location

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