RENEE HENDRICK


Address: 900 E Michigan Ave, Jackson, MI 49201-2457
Phone: 5177887866

RENEE HENDRICK (NPI# 1295082030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295082030
Entity Type Individual
Full Name RENEE HENDRICK
Credential ANP
Practice Address 900 E Michigan Ave
Jackson
MI 49201-2457
Practice Telephone 5177887866
Mailing Telephone 5177887866
Enumeration Date 2012-08-11
Last Update Date 2014-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704149226 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 900 E MICHIGAN AVE
City JACKSON
State MI
Zip Code 49201-2457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164484796 Pramit S Malhotra Surgery 900 E Michigan Ave, Ste 108, Jackson, MI 49201-2457 2006-04-06
1043772239 Samantha Marie Rinna Nurse Practitioner 900 E Michigan Ave, Jackson, MI 49201-2457 2019-04-05
1326510629 Danella Darlene Darling Physician Assistant 900 E Michigan Ave, Jackson, MI 49201-2457 2018-12-26
1124523915 W. A. Foote Memorial Hospital, Inc Clinical Medical Laboratory 900 E Michigan Ave, Jackson, MI 49201-2457 2018-03-26
1861724411 Mohan G Kulkarni Md PC Exclusive Provider Organization 900 E Michigan Ave, Suite 103, Jackson, MI 49201-2457 2010-02-08
1366670200 Bruce S Barbour, Md Internal Medicine 900 E Michigan Ave, Jackson, MI 49201-2457 2009-06-30
1043472509 Sandra Kay Raby Nurse Practitioner 900 E Michigan Ave, Suite 106, Jackson, MI 49201-2457 2008-06-26
1497954598 Rami Alzebdeh Internal Medicine 900 E Michigan Ave, Suite 105, Jackson, MI 49201-2457 2007-07-17
1952512766 Great Lakes Brain and Spine Institute PC Specialist 900 E Michigan Ave, Suite 109, Jackson, MI 49201-2457 2007-05-24
1174649354 Kidney and Hypertension Specialists Pllc Specialist 900 E Michigan Ave, Ste 104, Jackson, MI 49201-2457 2007-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215537220 John Franklin Niswonger Nurse Practitioner 861 Canyon Trl, Jackson, MO 63755-4001 2020-10-28
1902421746 Rebecca Mcwhirter Nurse Practitioner 1512 Roswell Dr, Jackson, MS 39211-5928 2020-06-08
1023656642 Nicole Lynn Mckee Nurse Practitioner 170 Bridge St, Jackson, OH 45640-1144 2019-12-13
1104387695 Chatina Spears Martin Nurse Practitioner 308 Melba Hill Dr, Jackson, MS 39209-2833 2019-03-27
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1942649686 Jennifer Annette Paulson Nurse Practitioner 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 2013-06-16
1770880171 Tracy Little Nurse Practitioner 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 2011-02-21
1750554267 Barbara Darlington Nurse Practitioner 14 Abes Way, Jackson, NJ 08527-4440 2008-04-04
1902075401 Dana Leanne Wilhite Nurse Practitioner 38 Abbey Pl, Jackson, TN 38305-1794 2008-02-28
1659550036 Kristen Elizabeth Tweedy Nurse Practitioner 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2007-11-01
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Competitor

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City JACKSON
Zip Code 49201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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