Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerrry Indra, PRC

Individual provider Peer Specialist · NPI 1003512955

Jerrry Indra, PRC is a Peer Specialist in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

765 E Hamilton Ave
Flint, MI 48505-4707
Phone: (810) 233-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (MI)

Record details

NPI number1003512955
Entity typeIndividual (Type 1)
GenderMale
Credentials PRC
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing address765 E Hamilton Ave, Flint, MI 48505-4707

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