Individual
JESSICA ANNE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15503 VENTURA BLVD STE 350, ENCINO, CA 91436-3114
(310) 820-8084
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016044
CA
363L00000X
Nurse Practitioner
95048514
CA
Other
Enumeration date
11/25/2020
Last updated
09/01/2023
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