Healthcare Provider Details

I. General information

NPI: 1083098628
Provider Name (Legal Business Name): JESSICA LYNN HENDRIX AGAC-NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LYNN BOWERS

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE INPATIENT CARDIOLOGY
CINCINNATI OH
45219
US

IV. Provider business mailing address

2139 AUBURN AVE # 4-7
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax: 513-206-1182
Mailing address:
  • Phone: 513-263-9703
  • Fax: 513-830-9185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3009557
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberCNP.020276
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: