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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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 1386017853 NPPES
Illinois Other 085005908 STATE LICENSE

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