Hendry, Jill R

Hendry, Jill R is an individual health care provider with primary practice located at 1733 Lakeland Hills Blvd , Lakeland FL 33805-3016. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hendry, Jill R can be contacted via phone (863) 940-2908.

Contact Information

Primary practice address
1733 Lakeland Hills Blvd Lakeland FL 33805-3016
Phone: (863) 940-2908
Fax: (863) 940-4722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN2856932 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN2856932 Florida

Profile Details

NPI number 1306814454
LBN Legal business name Hendry, Jill R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 24th, 2024 - about 8 months 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 1306814454 NPPES
Florida MEDICAID 340320300

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