Individual
MRS. MARY ANNE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
310 W SWEET POTATO ST, VARDAMAN, MS 38878-8405
(662) 682-7555
(662) 682-7388
Mailing address
PO BOX 237, VARDAMAN, MS 38878-0237
(662) 682-7555
(662) 682-7388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R665754
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120774
—
MS
Enumeration date
08/24/2006
Last updated
02/11/2022
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