IndividualActive
Jack Hendrickson, LPN
NPI 1134191455 · Licensed Practical Nurse · Ft Wainwright, AK
Jack Hendrickson, LPN is a Licensed Practical Nurse provider in Ft Wainwright, AK (NPI 1134191455).
Provider details
- NPI number
- 1134191455
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- License
- 4735 (AK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1060 Gaffney Rd
Commander, Usa-Meddac-Ak, Attn; Mcuc-Mmd-Qm
Ft Wainwright, AK 99703-5001
Phone: (907) 353-1207
Street-level locationGet directions
Mailing address
2005 Jack St
Fairbanks, AK 99709-4113
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Hendrickson's NPI number?
- Jack Hendrickson's National Provider Identifier (NPI) is 1134191455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Hendrickson's specialty?
- Jack Hendrickson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Jack Hendrickson located?
- Jack Hendrickson's practice location on file with NPPES is 1060 Gaffney Rd, Ft Wainwright, AK 99703-5001.
- What is Jack Hendrickson's phone number?
- The practice phone number listed in the NPPES registry for Jack Hendrickson is (907) 353-1207.
- Is Jack Hendrickson's NPI active?
- Yes — Jack Hendrickson's NPI (1134191455) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.