Hazel Hendrick is a Adult Health in Corinth, Mississippi. Hazel Hendrick practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Hazel Hendrick is 1376579599. The last update date is 2019-03-21.
Hazel Hendrick's current location address is 401 Alcorn Dr, Corinth, Mississippi. You can contact this provider via phone number 6628910452. The mailing address for Hazel Hendrick is 401 Alcorn Dr, Corinth, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hazel Hendrick |
|---|---|
| Address | 401 Alcorn Dr, Corinth, Mississippi |
| Phone Number | 6628910452 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1376579599 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2019-03-21 |
Provider Mailing Address Detail
| Address | 401 Alcorn Dr |
|---|---|
| City | Corinth |
| State | Mississippi (MS) |
| Post Code | 388349073 |
| Phone Number | 6628910452 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | R850843 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5302713 | MS | -- |
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What is the Hazel Hendrick's unique identification number?
The Hazel Hendrick has been assigned the NPI (National Provider Identifier) Number 1376579599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Hazel Hendrick located?
The Hazel Hendrick is located at 401 Alcorn Dr, Corinth, MS 388349073.
What is Hazel Hendrick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Hazel Hendrick's area of specialization is Adult Health, and the corresponding taxonomy code that categorizes this field of practice is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376579599 to Hazel Hendrick?
The Centers for Medicare & Medicaid Services originally issued the 1376579599 to Hazel Hendrick on 2006-06-23.
When was the information pertaining to Hazel Hendrick most recently updated or revised?
The details related to Hazel Hendrick, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-21.
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