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MR. JEFFERY THOMAS JACK RN
NPI 1295568509
Registered Nurse - Critical Care Medicine in Wichita, KS

Active since August 22, 2024
5500 W KELLOGG DR, WICHITA, KS 67209(316) 685-2221(316) 681-5599 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffery Thomas Jack Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY THOMAS JACK RN (NPI 1295568509) is an individual critical care medicine provider in Wichita, Kansas, licensed in Kansas (13-74692-081) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1295568509
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameMR. JEFFERY THOMAS JACKCredential: RN
Location Address5500 W KELLOGG DRWichita, KS 67209-2345
Mailing Address5500 W Kellogg DrWichita, KS 67209-2345 · (316) 685-2221 · Fax (316) 681-5599
Phone(316) 685-2221
Fax(316) 681-5599
Sole ProprietorNo
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1295568509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in KS · 13-74692-081
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 13-74692-081 (KS)
5500 W KELLOGG DR, Wichita, KS 67209
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER A CARIE PHARMD
Pharmacist (Ambulatory Care)
5500 W KELLOGG DR
WICHITA, KS 67209
Sedgwick County (316) 516-3898
JULIE MARIE MEYER PATRY LCSW, MSW
Social Worker (Clinical)
5500 W KELLOGG DR
WICHITA, KS 67209
Sedgwick County (316) 308-0423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Jack's NPI number?

The NPI number for Jeffery Jack is 1295568509. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Jeffery Jack located?

Jeffery Jack practices at 5500 W Kellogg Dr, Wichita, KS 67209. The listed phone number is (316) 685-2221.

What is Jeffery Jack's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Jeffery Jack was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.