Doctor Name: | DR. JENNIFER LYNN HENDRICKS |
NPI Number: | 1386841716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | RT1721 |
Business Practice Address: | 20 Chambers Dr Suite 1200 Hooksett, NH - 031061981 |
Business Phone Number: | 6036248652 |
Business Fax Number: | 6036246609 |
Mailing Address: | 20 Chambers Drive, Suite 1200 Elliot Family Medicine At Hooksett MANCHESTER |
State: | NH |
Postal Code: | 03106 |
Phone Number: | 6036248652 |
Fax Number: | 6036246609 |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | RT1721 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |