person
Jill M Hennessy, PA-C
Medical Physician Assistant in Fargo, North Dakota
NPI 1932126893

Jill M Hennessy is a Medical Physician Assistant based in Fargo, ND and is specialized in Medical. Jill M Hennessy practices in Fargo, ND and has the professional credentials of PA-C. The NPI Number for Jill M Hennessy is 1932126893 and holds a License No. 9818 (North Dakota).

The current practice location address for Jill M Hennessy is 737 Broadway, Fargo, ND and can be reached out via phone at 701-234-3360 and via fax at 701-234-3868. You can also correspond with Jill M Hennessy through the mailing address at 801 BROADWAY N, FARGO, ND - 58102-3641 (mailing address contact number: 701-234-3360).

Location: 737 Broadway, Fargo, ND, 58102-3641
person
Provider Profile Details
NPI Number
1932126893
Provider Name
Jill M Hennessy
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
737 Broadway, Fargo, ND, 58102-3641
Phone Number
701-234-3360
Fax Number
701-234-3868
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71064 05 ND
institution
Provider Business Practice Location Address Details
Address
737 Broadway
City
State
Zip
58122-0001
Phone Number
701-234-3360
Fax Number
701-234-3868
person
Provider Business Mailing Address Details
Address
737 Broadway
City
State
Zip
58122-0001
Phone Number
701-234-3360
Fax Number
701-234-3868
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9818 (Minnesota)
Definition
Definition to come...
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