Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JARED W HENRICKSEN, MD
ActiveDR. JARED W HENRICKSEN, MD is a Pediatric Critical Care Medicine healthcare provider located in SLC, Utah. NPI 1396762480 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · SLC, UT
Registration Details
- NPI Number
- 1396762480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (20.083316795078 yrs)
- Last Updated
- Apr 25, 2022
- License
-
347933-1205 (UT)
Practice Information
- Address
-
100 MARIO CAPECCHI DRSLC, UT, 841131103Browse UT providers · Browse ZIP 84113
- Phone
- 8016621000
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
Other Pediatric Critical Care Medicine Providers in SLC, UT
| Name | Credential | NPI |
|---|---|---|
| DR. VENUGOPAL AMULA | — | 1528268448 |
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.