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JACQUELINE HENDRICKS
NPI 1902451792
Prevention Professional in Las Vegas, NV

Active since August 07, 2019
4525 DEAN MARTIN DR UNIT 501, LAS VEGAS, NV 89103(904) 504-7234 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Hendricks NPPES

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

JACQUELINE HENDRICKS (NPI 1902451792) is an individual prevention professional provider in Las Vegas, Nevada, licensed in Florida (251268) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1902451792
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameJACQUELINE HENDRICKS
Location Address4525 DEAN MARTIN DR UNIT 501Las Vegas, NV 89103-8107
Mailing Address4525 Dean Martin Dr Unit 501Las Vegas, NV 89103-8107 · (904) 504-7234
Phone(904) 504-7234
Sole ProprietorYes
Enumeration DateAugust 7, 2019
✔ NPI 1902451792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in FL · 251268
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
4525 DEAN MARTIN DR UNIT 501, Las Vegas, NV 89103
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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 Jacqueline Hendricks's NPI number?

The NPI number for Jacqueline Hendricks is 1902451792. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Jacqueline Hendricks located?

Jacqueline Hendricks practices at 4525 Dean Martin Dr Unit 501, Las Vegas, NV 89103. The listed phone number is (904) 504-7234.

What is Jacqueline Hendricks's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Hendricks was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.