Individual provider · Type 1 NPI

Jeremy Klein

Pediatric Nurse Practitioner · Laughlin Afb, TX

NPI number 1043842909 Active

Practice location

590 Mitchell Blvd Bldg 37547th
Laughlin Afb, TX 78843-5242

Mailing address

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800

Other practice locations

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 539-9582
  • 559 Mds, 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 · (210) 652-1951

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000XRN60866146 (WA)
Pediatric Nurse Practitioner Primary 363LP0200XAP61176673 (WA)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1043842909

Jeremy Klein's National Provider Identifier is 1043842909, issued on Feb 9, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Laughlin Afb, TX. The record was last updated on Jun 26, 2025.