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

Jill M Hennessy, PA-C

Individual provider Medical Physician Assistant · NPI 1932126893

Jill M Hennessy, PA-C is a Medical Physician Assistant in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2006.

Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

737 Broadway
Fargo, ND 58122-0001
Phone: (701) 234-3360
Fax: (701) 234-3868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAC0286 (ND)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9818 (MN)

Record details

NPI number1932126893
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESOctober 16, 2012

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