Individual provider · Type 1 NPI

Kerry Scruggs, ANP

Nurse Practitioner · Tyler, TX

NPI number 1922080076 Active

Practice location

3310 Patriot Dr
Tyler, TX 75701-6606

Mailing address

PO Box 847824
Dallas, TX 75284-7824

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X534901 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1922080076

Kerry Scruggs, ANP's National Provider Identifier is 1922080076, issued on Nov 15, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 3, 2008.