# JARED W HENRICKSEN, MD
> **PEDIATRIC MEDICINE** · SALT LAKE CITY, UT
## Provider
- **NPI:** 1396762480
- **Credential:** MD
- **Primary specialty:** PEDIATRIC MEDICINE
- **Secondary specialties:** CRITICAL CARE (INTENSIVISTS)
- **Gender:** Male
- **Medical school:** MEDICAL COLLEGE OF WISCONSIN
- **Graduation year:** 2002
## Practice
- **Address:** 100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103
- **Phone:** 8016621234
- **Accepts Medicare assignment:** Yes (individual)
- **Telehealth:** No
## Source
- [NPI Registry](https://npiregistry.cms.hhs.gov/provider-view/1396762480)
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