P Praxis·MD
● Active Type 1 · Individual

MRS. Jamie Lynn Hendricks, FNP-BC, RN

Nurse Practitioner·Melba, ID· NPI 1134484751 · Enumerated 2012 · 13 years on NPI
Hendricks is 1 of 1 nurse practitioner providers in Melba and 1 of 1280 in Idaho.
NPI age
13 years
Enumerated 2012-07-10
Primary specialty
Nurse Practitioner
Licensed in
MI
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
6825 Hove Rd
Melba, ID 836415201
📞 6166105229
Mailing address
6825 Hove Rd
Melba, ID 836415201
📞 6166105229

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    MI license #4704248959 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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