Individual
REBECCA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
824 MILITARY RD, BENTON, AR 72015-3347
(501) 574-3019
Mailing address
28 PERDIDO CIR, LITTLE ROCK, AR 72211-2142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005908
AR
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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