| Mr Jack Ernest Hendrickson, LPN | |
|
1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 | |
| (907) 353-1207 | |
| Not Available |
| Full Name | Mr Jack Ernest Hendrickson |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1060 Gaffney Rd, Ft Wainwright, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134191455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4735 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Ernest Hendrickson, LPN 2005 Jack St, Fairbanks, AK 99709-4113 Ph: (907) 451-9414 | Mr Jack Ernest Hendrickson, LPN 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn; Mcuc-mmd-qm, Ft Wainwright, AK 99703-5001 Ph: (907) 353-1207 |
Wilma June Ison, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Mrs. Dawn Lynee Mckendrick, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Deniece Lee Wazny, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak,attn:mcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-4107 | |
Glenn Parker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
William Bryant, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Bassett Army Community Hospital, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 | |
Ms. Brenda Bonita Webber, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaffney Rd, Commander, Usa-meddac-ak-mmcuc-mmd-qm, Ft Wainwright, AK 99703 Phone: 907-353-5418 Fax: 907-353-4845 |