Jonathan Cleon Hendricks, PA-C

Physician Assistant · Cape Coral, FL

Individual Active NPI

NPI number 1033185699

Practice location

636 Del Prado Boulevard
Cape Coral, FL 33990-2695
Phone
(239) 424-2222

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NPI record

NPI
1033185699
Entity type
Individual (Type 1)
Enumeration date
February 24, 2006
Last updated
November 21, 2024
Certified
November 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9101920 FL

Mailing address

4131 Matia Dr
Ferndale, WA 98248-9539
Phone
(523) 561-2513

About Jonathan Hendricks

Jonathan Cleon Hendricks, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 636 Del Prado Boulevard, Cape Coral, FL 33990-2695. The NPI number 1033185699 was assigned on February 24, 2006 and the record was last updated on November 21, 2024.

Jonathan Hendricks lists a license in the registry: #PA9101920 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Cleon Hendricks, PA-C?

The NPI number is 1033185699.

What is the phone number of Jonathan Hendricks?

The phone number listed for the practice location is (239) 424-2222.

Where is Jonathan Hendricks located?

636 Del Prado Boulevard, Cape Coral, FL 33990-2695.

What is the taxonomy code for Jonathan Hendricks?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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