Individual
MRS. JAMIE LYNN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
6825 HOVE RD, MELBA, ID 83641-5201
(616) 610-5229
Mailing address
6825 HOVE RD, MELBA, ID 83641-5201
(616) 610-5229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704248959
MI
Other
Enumeration date
07/10/2012
Last updated
11/22/2024
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