JESSE DEDRICK FNP
NPI 1609281591
Nurse Practitioner - Family in Killeen, TX

Active since June 30, 2014
3800 S W S YOUNG DR, SUITE 201, KILLEEN, TX 76542(254) 245-9175(254) 213-7771 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse Dedrick Fnp NPPES

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

JESSE DEDRICK FNP (NPI 1609281591) is an individual family provider in Killeen, Texas, licensed in Texas (AP125603) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1609281591
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJESSE DEDRICKCredential: FNP
Location Address3800 S W S YOUNG DR, SUITE 201Killeen, TX 76542-3311
Mailing Address36029 58th StFort Cavazos, TX 76544 · (254) 287-7169 · Fax (254) 287-7980
Fax(254) 213-7771
Sole ProprietorNo
Enumeration DateJune 30, 2014
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 7, 2025
NPI 1609281591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TX · AP125603 Licensed in TX · 669176
3800 S W S YOUNG DR, Killeen, TX 76542

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
3800 S W S YOUNG DR, SUITE 201
KILLEEN, TX 76542
Nurse Practitioner (Family)
3800 S W S YOUNG DR, SUITE 201
KILLEEN, TX 76542
Nurse Practitioner (Family)
3800 S W S YOUNG DR
KILLEEN, TX 76542

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 Jesse Dedrick's NPI number?

The NPI number for Jesse Dedrick is 1609281591. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Jesse Dedrick located?

Jesse Dedrick practices at 3800 S W S Young Dr Suite 201, Killeen, TX 76542. The listed phone number is (254) 245-9175.

What is Jesse Dedrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jesse Dedrick was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.