Jeanne M Hendricks
Medical Specialty
Professional ID
- NPI: 1528047453
- PECOS ID: 6507816428
- Enrollment ID: I20050128000215
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 1993
Hospital Service
- Hospital CCN1: 240196
- Business Name (LBN)1: Phillips Eye Institute
- Hospital CCN2: 240053
- Business Name (LBN)2: Park Nicollet Methodist Hospital
Medical Practices
- Organization Name: Park Nicollet Methodist Hospital
- Group Practice ID assigned by PECOS: 7315840063
- Number of Group Practice member: 77
Location
Medical Practices
- Organization Name: Nurse Anesthesia Services Pa
- Group Practice ID assigned by PECOS: 8628973435
- Number of Group Practice member: 28
Location
- Address1: 4050 Coon Rapids Nwblvd
- Address2:
- City: Coon Rapids
- State: Minnesota
- Zip Code: 55433
- Phone Number: (763)236-6000
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):