Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James Andrew Jack, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1104060607

James Andrew Jack, IDMT is an Independent Duty Medical Technicians in Hurlburt Field, Florida. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

113 Lielmanis Ave
Hurlburt Field, FL 32544-5604
Phone: (850) 881-2337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1104060607
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedApril 28, 2009
Last updated in NPPESJanuary 6, 2012
Mailing address113 Lielmanis Ave, Hurlburt Field, FL 32544-5613

Other providers in Hurlburt Field