Individual provider · Type 1 NPI

Jennifer A. Hendricks, FNP-BC

Family Nurse Practitioner · Springfield, IL

NPI number 1053402735 Active

Practice location

2200 Wabash Ave
Springfield, IL 62704-5352

Mailing address

1025 S 6th St
Springfield, IL 62703-2403

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209-005252 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1053402735

Jennifer A. Hendricks, FNP-BC's National Provider Identifier is 1053402735, issued on Sep 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Feb 3, 2009.