Individual provider · Type 1 NPI
Jacob Ely Henrie
Independent Duty Medical Technicians · Fort Bragg, NC
Practice location
2817 Rock Merritt Avenue
Fort Bragg, NC 28310-7324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …
125 other providers at this address
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Other independent duty medical technicians providers in Fort Bragg
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- Victoria Jean Everett, IDMTIndependent Duty Medical Technicians Fort Bragg, NC NPI 1376393900
- Jason Dean Cox, USAF IDMT/PARAMEDICIndependent Duty Medical Technicians Fort Bragg, NC NPI 1487898961
- Benjamin Andrew GallentineIndependent Duty Medical Technicians Fort Bragg, NC NPI 1578103461
- Ryan Brennan, IDMTIndependent Duty Medical Technicians Fort Bragg, NC NPI 1598411928
- Phil Jason FlewwellinIndependent Duty Medical Technicians Fort Bragg, NC NPI 1730897539
About NPI 1013814144
Jacob Ely Henrie's National Provider Identifier is 1013814144, issued on Oct 22, 2026. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Fort Bragg, NC. The record was last updated on Oct 22, 2026.