Individual provider · Type 1 NPI

Jaelen Myrick

Independent Duty Medical Technicians · Bolling Afb, DC

NPI number 1871406322 Active

Practice location

238 Brookley Ave SW
Bolling Afb, DC 20032-7704

Call (202) 404-1496 Map

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone listed

Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …

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About NPI 1871406322

Jaelen Myrick's National Provider Identifier is 1871406322, issued on Sep 25, 2026. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Bolling Afb, DC. The record was last updated on Sep 25, 2026.