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NPI Code Detail

MEDICARE: JERI YVONNE HEDGES APRN

MEDICARE: JERI YVONNE HEDGES APRN
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
1363LF0000XFamily Nurse Practitioner1000376TX

General Provider Information

NPI Number : 1861350530
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERI YVONNE HEDGES APRN
Provider Business Mailing Address
First Line : 3328 N UNIVERSITY DR
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-2681
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3328 N UNIVERSITY DR
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-2681
Country : US
Telephone Number : 936-568-3141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 05/19/2026

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