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JERRRY INDRA PRC
NPI 1003512955
Peer Specialist in Flint, MI

Active since February 02, 2023
765 E HAMILTON AVE, FLINT, MI 48505(810) 233-5340 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrry Indra Prc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRRY INDRA PRC (NPI 1003512955) is an individual peer specialist in Flint, Michigan and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1003512955
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRRY INDRACredential: PRC
Location Address765 E HAMILTON AVEFlint, MI 48505-4707
Mailing Address765 E Hamilton AveFlint, MI 48505-4707 · (810) 233-5340
Phone(810) 233-5340
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1003512955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
765 E HAMILTON AVE, Flint, MI 48505
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA LYNN
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
STEPHANIE CREEL
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
MARCUS DAVIS
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
MS. RACHAEL MARIE HARRIS
Counselor (Addiction (Substance Use Disorder))
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
TENA M WHITT
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
STEVEN P ROOKS
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
KENNETH D BECK
Peer Specialist
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340
SHIRLEY LEA-LAWSON
Counselor
765 E HAMILTON AVE
FLINT, MI 48505
Genesee County (810) 233-5340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrry Indra's NPI number?

The NPI number for Jerrry Indra is 1003512955. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Jerrry Indra located?

Jerrry Indra practices at 765 E Hamilton Ave, Flint, MI 48505. The listed phone number is (810) 233-5340.

What is Jerrry Indra's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerrry Indra was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.