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

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