MRS. JAMIE LYNN HENDRICKS FNP-BC RN NPI 1134484751

NPI Information

  • NPI: 1134484751
  • Provider Name: MRS. JAMIE LYNN HENDRICKS, FNP-BC, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6825 HOVE RD
    MELBA, ID
    ZIP 83641
  • Phone: (616) 610-5229

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NPI Details

MRS. Jamie Lynn Hendricks, FNP-BC, RN is a family nurse practitioner in Melba, ID. MRS. Jamie Lynn Hendricks, FNP-BC, RN NPI is 1134484751. 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:

6825 HOVE RD
MELBA, ID
ZIP 83641-201
Phone: (616) 610-5229

The NPI 1134484751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 11/22/2024.

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
1363LF0000XNurse PractitionerFamily4704248959MICHIGANYes

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: 3/30/2025

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