Healthcare Provider Details

I. General information

NPI: 1316856842
Provider Name (Legal Business Name): ADRIANNA JOSEPHINE HENDRIX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 HIGHWAY 72 E
CORINTH MS
38834-6450
US

IV. Provider business mailing address

1212 CLEARVIEW DR
BALDWYN MS
38824-8530
US

V. Phone/Fax

Practice location:
  • Phone: 662-594-4123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number908753
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: