Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFERY THOMAS JACK, RN
ActiveMR. JEFFERY THOMAS JACK, RN is a Critical Care Nurse healthcare provider located in WICHITA, Kansas. NPI 1295568509 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · WICHITA, KS
Registration Details
- NPI Number
- 1295568509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2024 (2.0051320478287 yrs)
- Last Updated
- Aug 22, 2024
- Licenses
-
13-74692-081 (KS)13-74692-081 (KS)
Practice Information
- Address
-
5500 W KELLOGG DRWICHITA, KS, 672092345Browse KS providers · Browse ZIP 67209
- Phone
- 3166852221
- Fax
- 3166815599
- Primary Specialty
-
Critical Care Nurse
163WC0200X
- Additional Specialty
- Critical Care Nurse
Other Critical Care Nurse Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| EKERETTE U AKPAN | RN | 1306088216 |
| NATHEN D YUNKER | RN, BSN | 1932680071 |
| ZACHARY CALEB HUBER | RN | 1760153829 |
| BART RIDDER | — | 1780399444 |
| IAN DAVID CHAVEZ | BSN, RN, VA-BC | 1043925704 |
| RANDI MICHELLE SANDLIN | RN | 1881309524 |
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.