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JERRIE DENISE SAN LUIS RN
NPI 1013667708
Registered Nurse - Addiction (Substance Use Disorder) in Austin, TX

Active since March 25, 2022
1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX 78745(512) 899-2100(512) 899-2205 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerrie Denise San Luis Rn NPPES

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

JERRIE DENISE SAN LUIS RN (NPI 1013667708) is an individual addiction (substance use disorder) provider in Austin, Texas, licensed in Texas (652119) and active in the NPI registry since March 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013667708
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameJERRIE DENISE SAN LUISCredential: RN
Location Address1110 W WILLIAM CANNON DR STE 303Austin, TX 78745-3188
Mailing Address1110 W William Cannon Dr Ste 303Austin, TX 78745-3188 · (512) 899-2100 · Fax (512) 899-2205
Phone(512) 899-2100
Fax(512) 899-2205
Sole ProprietorNo
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1013667708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in TX · 652119
1110 W WILLIAM CANNON DR STE 303, Austin, TX 78745
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1437 McCarty Rd Ste 600San Antonio, TX 78216-4445 · Phone (210) 314-1934 ext. 579
Location 21101 Arrow Point Dr Ste 214Cedar Park, TX 78613-7739 · Phone (512) 986-7743 ext. 563 · Fax (512) 986-7759
Location 3305 Ferguson DrAustin, TX 78753-3006 · Phone (512) 339-9757 ext. 582 · Fax (512) 339-9747

Other Identifiers 1

Other652119TX · Nurse License-registered Nurse

Other Providers at the Same Location NPPES 10

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

SUZANNE SALE HENLEY LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
JADE ANN MENA LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
MELISSA JACKSON LVN
Licensed Vocational Nurse
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
TERRY CLARKE LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
ELISABETH KAY SYKES RN
Registered Nurse
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
MAINTENANCE AND RECOVERY SERVICES, INC.
Clinic/Center (Methadone)
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
JOSEPH D KRAUSE LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100
JENNIFER N HINE LCDC
Counselor (Addiction (Substance Use Disorder))
1110 W WILLIAM CANNON DR STE 303
AUSTIN, TX 78745
Travis County (512) 899-2100

Frequently Asked Questions

What is Jerrie San Luis's NPI number?

The NPI number assigned to this healthcare provider is 1013667708, enumerated as an "individual" on March 25, 2022.

Where is the provider located?

The provider is located at 1110 W WILLIAM CANNON DR STE 303 AUSTIN, TX 78745 and the phone number is (512) 899-2100.

What is the provider's specialty?

Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Jerrie San Luis accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.