Individual
JESSICA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 PONCE DE LEON AVE NE FL 9, ATLANTA, GA 30306-4794
(470) 520-5776
Mailing address
1486 TERRELL MILL RD SE APT 173, MARIETTA, GA 30067-6053
(865) 414-3302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-180669
AL
207Q00000X
Family Medicine Physician
Primary
RN313596
GA
Other
Enumeration date
02/08/2021
Last updated
01/22/2025
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