IndividualActive
Jacqueline Hendricks
NPI 1902451792 · Prevention Professional · Las Vegas, NV
Provider details
- NPI number
- 1902451792
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 251268 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
4525 Dean Martin Dr Unit 501
Las Vegas, NV 89103-8107
Phone: (904) 504-7234
Approximate (ZIP-level) locationGet directions
Mailing address
4525 Dean Martin Dr Unit 501
Las Vegas, NV 89103-8107
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2019-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.