Individual
MRS. JENNA BREANNE HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 MACK RD, ASHEBORO, NC 27205-1066
(336) 625-1172
(336) 625-6434
Mailing address
PO BOX 2005, ASHEBORO, NC 27204-2005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407071558
—
NC
01
—
66983
BCBS
NC
Enumeration date
03/08/2013
Last updated
12/11/2020
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