Individual
JAN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 CUMING ST, OMAHA, NE 68131-1601
(402) 717-0380
Mailing address
1835 COUNTRY CLUB DR, MARION, IA 52302-5517
(319) 210-9930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2687
NE
Other
Enumeration date
02/18/2020
Last updated
01/13/2024
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