Individual provider · Type 1 NPI

Jeremiah J. Kroeker, BC-PMHNP

Psychiatric/Mental Health Nurse Practitioner · Victorville, CA

NPI number 1669182812 Active

Practice location

15434 W Sage St
Victorville, CA 92392-9751

Mailing address

522 San Jacinto St
Redlands, CA 92373-5751

Other practice locations

  • 14344 Cajon Ave Ste 102, Victorville, CA 92392-4301 · (760) 843-0506

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95022927 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1669182812

Jeremiah J. Kroeker, BC-PMHNP's National Provider Identifier is 1669182812, issued on Nov 29, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Victorville, CA. The record was last updated on Jun 10, 2023.