JERRY WYATT MBS
NPI 1508999558
Counselor - Professional in Durant, OK

Q: What is Jerry Wyatt's NPI number?

The NPI number for Jerry Wyatt is 1508999558. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Jerry Wyatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Wyatt was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 13, 2007

1925 W ELM ST, DURANT, OK 74701(580) 924-6363(580) 924-0379 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Wyatt Mbs NPPES

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

JERRY WYATT MBS (NPI 1508999558) is an individual professional provider in Durant, Oklahoma, licensed in Oklahoma (3456) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508999558

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJERRY WYATTCredential: MBS

Location Address1925 W ELM STDurant, OK 74701-3429

Mailing Address1925 W Elm StDurant, OK 74701-3429 · (580) 924-6363 · Fax (580) 924-0379

Phone(580) 924-6363

Fax(580) 924-0379

Sole ProprietorYes

Enumeration DateMarch 13, 2007

Last NPPES UpdateAugust 21, 2008

✔ NPI 1508999558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OK · 3456

1925 W ELM ST, Durant, OK 74701

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Other Providers at the Same Location NPPES

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

LAURALY WYATT MBS

Counselor (Professional)

1925 W ELM ST
DURANT, OK 74701

Bryan County (580) 924-6363

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 Jerry Wyatt's NPI number?

The NPI number for Jerry Wyatt is 1508999558. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Jerry Wyatt located?

Jerry Wyatt practices at 1925 W Elm St, Durant, OK 74701. The listed phone number is (580) 924-6363.

What is Jerry Wyatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jerry Wyatt was last updated on August 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.