Individual
MRS. JILL F HENRITZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 STATE ST, BRISTOL, VA 24201-4143
(276) 469-8899
(276) 469-8904
Mailing address
811 STATE ST, BRISTOL, VA 24201-4143
(276) 469-8899
(276) 469-8904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001029
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255376190
—
VA
05
—
3661425
—
TN
01
—
PA0001029
LICENSE
TN
Enumeration date
06/17/2006
Last updated
03/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us