Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Anne Hendricks

Individual provider Nurse Practitioner · NPI 1689278087

Jessica Anne Hendricks is a Nurse Practitioner in Encino, California. Qualified in 2020, 6 years ago. Practices with The Regents of the University of California, a 1,414-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

15503 Ventura Blvd Ste 350
Encino, CA 91436-3114
Phone: (310) 820-8084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016044 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95048514 (CA)

Record details

NPI number1689278087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2020
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Encino