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

Mr. Jeffery Thomas Jack, RN

Individual provider Ambulatory Care Registered Nurse · NPI 1295568509

Mr. Jeffery Thomas Jack, RN is an Ambulatory Care Registered Nurse in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2024.

Licensed in
KS
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

5500 W Kellogg Dr
Wichita, KS 67209-2345
Phone: (316) 685-2221
Fax: (316) 681-5599
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 13-74692-081 (KS)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 13-74692-081 (KS)

Record details

NPI number1295568509
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address5500 W Kellogg Dr, Wichita, KS 67209-2345

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