Individual
JILLIAN HENDRYX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-3361
Mailing address
1912 SIERRA DR, RALEIGH, NC 27603-2777
(910) 590-6517
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0010-11272
NC
363A00000X
Physician Assistant
Primary
0010-11272
NC
Other
Enumeration date
09/01/2021
Last updated
09/02/2021
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