Individual
AMELIA ELIZABETH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP-BC, WHNP-BC
Contact information
Practice address
101 PROSPEROUS PL STE 350, LEXINGTON, KY 40509-1891
(859) 654-0160
(859) 712-9273
Mailing address
101 PROSPEROUS PL STE 350, LEXINGTON, KY 40509-1891
(859) 654-0160
(859) 712-9273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005965
KY
363LW0102X
Women's Health Nurse Practitioner
3005965
KY
363LW0102X
Women's Health Nurse Practitioner
5965P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100066600
—
KY
Enumeration date
03/05/2009
Last updated
06/21/2024
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