Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK ERNEST HENDRICKSON, LPN
ActiveMR. JACK ERNEST HENDRICKSON, LPN is a Licensed Practical Nurse healthcare provider located in FT WAINWRIGHT, Alaska. NPI 1134191455 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FT WAINWRIGHT, AK
Registration Details
- NPI Number
- 1134191455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2006 (20.538424225569 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4735 (AK)
Practice Information
- Address
-
1060 GAFFNEY RDCOMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QMFT WAINWRIGHT, AK, 997035001Browse AK providers · Browse ZIP 99703
- Phone
- 9073531207
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in FT WAINWRIGHT, AK
| Name | Credential | NPI |
|---|---|---|
| WILLIAM BRYANT | — | 1851376768 |
| GLENN PARKER | — | 1366427270 |
| MRS. DAWN LYNEE MCKENDRICK | LPN | 1316927841 |
| DENIECE LEE WAZNY | LPN | 1336129873 |
| MS. BRENDA BONITA WEBBER | LPN | 1871565903 |
| STEDMOND L BLAKE | — | 1902878192 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.