Hendrick, Hazel

Hendrick, Hazel is an individual health care provider with primary practice located at 611 Alcorn Dr Magnolia Regional Health Center, Corinth MS 38834-9321. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hendrick, Hazel can be contacted via phone (662) 293-5590.

Contact Information

Primary practice address
611 Alcorn Dr Magnolia Regional Health Center Corinth MS 38834-9321
Phone: (662) 293-5590
Fax: (662) 293-4282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R850843 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R850843 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 850843 Mississippi

Profile Details

NPI number 1376579599
LBN Legal business name Hendrick, Hazel
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 21st, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376579599 NPPES
Mississippi MEDICAID 05302713

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