Individual
JILL M HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-3360
(701) 234-3868
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-3360
(701) 234-3868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9818
MN
363AM0700X
Medical Physician Assistant
Primary
PAC0286
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71064
—
ND
Enumeration date
07/16/2006
Last updated
10/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us