Individual
JENNA LEE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 HILLANDALE RD STE 24A, DURHAM, NC 27705-2671
(435) 591-9383
Mailing address
506 EVERETT PLACE, DURHAM, NC 27701-0001
(513) 519-1652
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19299
TN
Other
Enumeration date
10/02/2014
Last updated
10/07/2020
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