Individual provider · Type 1 NPI

Krista Serocki, MD

Student in an Organized Health Care Education/Training Program · Johnson City, TN

NPI number 1336088277 Active

Practice location

2 Professional Park Dr Ste 21
Johnson City, TN 37604-6584

Call (423) 379-8082 Map

Fax (423) 379-8154

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336088277

Krista Serocki, MD's National Provider Identifier is 1336088277, issued on Mar 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Johnson City, TN. The record was last updated on Mar 26, 2026.