MR. JACK HENDRICKSON, LPN

Licensed Practical Nurse

Active Individual

NPI: 1134191455

Practice Address

1060 GAFFNEY RD
COMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QM
Ft Wainwright, AK 99703

Specialties

Specialty	Code	Primary	License
Licensed Practical Nurse	164W00000X	Yes	4735 (AK)

Frequently Asked Questions

NPI 1134191455 is the National Provider Identifier for MR. JACK HENDRICKSON, LPN, a Licensed Practical Nurse provider located in Ft Wainwright, AK. This NPI was enumerated on February 2, 2006.

MR. JACK HENDRICKSON, LPN practices at 1060 GAFFNEY RD, COMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QM, Ft Wainwright, AK 99703.

Quick Facts

NPI: 1134191455
Type: Individual
Enumerated: Feb 2, 2006
Last Updated: Jul 8, 2007

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