JESSICA HENDRIX PA-C NPI 1386017853

NPI Information

NPI: 1386017853
Provider Name: JESSICA HENDRIX, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1302 FRANKLIN AVE STE 2500
NORMAL, IL
ZIP 61761
Phone: (309) 368-3240
Get Directions

Jessica Hendrix, PA-C is a surgical physician assistant in Normal, IL. Jessica Hendrix, PA-C NPI is 1386017853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1302 FRANKLIN AVE STE 2500
NORMAL, IL
ZIP 61761
Phone: (309) 368-3240
Fax: (309) 268-3245

The enumeration date for this NPI number is 11/5/2015 and was last updated on 6/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	085-005908	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	085005908	OTHER	ILLINOIS	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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