Individual provider · Type 1 NPI
Jeffery Thomas Jack, RN
Critical Care Medicine Registered Nurse · Wichita, KS
NPI number
1295568509
Active
Practice location
5500 W Kellogg Dr
Wichita, KS 67209-2345
Fax (316) 681-5599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 13-74692-081 (KS) |
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 13-74692-081 (KS) |
Critical Care Medicine Registered Nurse: Definition to come...
2 other providers at this address
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- Kelsey AustinCritical Care Medicine Registered Nurse Wichita, KS NPI 1265138010
- Linda Schepmann, RNCritical Care Medicine Registered Nurse Wichita, KS NPI 1265148225
About NPI 1295568509
Jeffery Thomas Jack, RN's National Provider Identifier is 1295568509, issued on Aug 22, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Wichita, KS. The record was last updated on Aug 22, 2024.