Individual provider · Type 1 NPI

Tia Lyann Hendricks, MSN, APRN, FNP-C

Nurse Practitioner · Cape Girardeau, MO

NPI number 1659090348 Active

Practice location

1701 Lacey St
Cape Girardeau, MO 63701-5230

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2022026226 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659090348

Tia Lyann Hendricks, MSN, APRN, FNP-C's National Provider Identifier is 1659090348, issued on Aug 25, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Dec 29, 2024.