Christian Jerry

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

8389 Hickory PL NE
Bremerton, WA 98311-8769

Phone

(479) 221-4043

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1811609142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8389 HICKORY PL NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118769",
            "telephone_number": "479-221-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8389 HICKORY PL NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983118769",
            "telephone_number": "479-221-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRY",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas L. Jennings, D.O.
• Megan Alice Jennings
• Samantha Jennings, FNP-C DNP
• Ann Leigh Jensen, MSW
• Sharon Jensen, DC
• Jessie Banks DDS PS
• Jessica Lauchlin Jeu
• Silvia Jimenez
• Jimi James, PHD, Inc, PS
• Tanveer Johal, MD

• Independent Duty Corpsman in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.