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

Mrs. Tia Lyann Hendricks, MSN, APRN, FNP-C

Individual provider Nurse Practitioner · NPI 1659090348

Mrs. Tia Lyann Hendricks, MSN, APRN, FNP-C is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2021, 5 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone: (573) 331-6431
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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 2022026226 (MO)

Record details

NPI number1659090348
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , FNP-C
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESDecember 29, 2024
Certification dateDecember 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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