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

Jordan Hennemyre

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639922263

Jordan Hennemyre is a Student in an Organized Health Care Education/Training Program in St Petersburg, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

700 6th St S
St Petersburg, FL 33701
Phone: (727) 893-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639922263
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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