MEDICARE: PATRICIA LYNN HENDRIX ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP 3307242	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467760942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LYNN HENDRIX ARNP

Provider Business Mailing Address
First Line	:	2315 W JACKSON ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32505-7552
Country	:	US
Telephone Number	:	850-436-4630
Fax Number	:	850-436-2095

Provider Business Practice Location Address
First Line	:	1400 N PALAFOX ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-2643
Country	:	US
Telephone Number	:	850-444-9449
Fax Number	:	850-637-1677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2010
Last Update Date	:	03/27/2025

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