MR. JACK ERNEST HENDRICKSON LPN NPI 1134191455

NPI Information

MR. Jack Ernest Hendrickson, LPN is a licensed practical nurse in Ft Wainwright, AK. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Jack Ernest Hendrickson, LPN NPI is 1134191455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1060 GAFFNEY RD
COMMANDER, USA-MEDDAC-AK, ATTN; MCUC-MMD-QM
FT WAINWRIGHT, AK
ZIP 99703-001
Phone: (907) 353-1207

The enumeration date for this NPI number is 2/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.