Hendrix, Jessica
Hendrix, Jessica is an sole proprietor health care provider with primary practice located at 1302 Franklin Ave Ste 2500 , Normal IL 61761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hendrix, Jessica can be contacted via phone (309) 368-3240.Contact Information
Primary practice address
1302 Franklin Ave Ste 2500
Normal IL 61761
Phone: (309) 368-3240
Fax: (309) 268-3245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085-005908 | Illinois |
Profile Details
| NPI number | 1386017853 |
|---|---|
| LBN Legal business name | Hendrix, Jessica |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 5th, 2015 |
| Last updated | Jun 22nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386017853 | NPPES |
| Illinois | Other | 085005908 | STATE LICENSE |
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