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Individual

MR. JAMES DANIEL HENDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
16158 AIRLINE HWY STE 103, PRAIRIEVILLE, LA 70769-4212
(225) 963-9355
Mailing address
3745 MONTE VISTA DR, ADDIS, LA 70710-3008
(225) 603-1728

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09401
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP09401
ADVANCED PRACTICE NURSE NUMBER
LA
Enumeration date
06/22/2017
Last updated
11/19/2019
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