Individual
MS. MEGHAN SUSANNE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
5120 MEADOW FIELD DR, MEBANE, NC 27302-7035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
219715
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5014331
NC
Other
Enumeration date
03/09/2021
Last updated
10/08/2025
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