Provider Demographics
NPI:1205626231
Name:HENDRICKSON, DONNA J (APN)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:J
Last Name:HENDRICKSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17 ARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1858
Mailing Address - Country:US
Mailing Address - Phone:908-635-0680
Mailing Address - Fax:
Practice Address - Street 1:4390 ROUTE 130 STE A
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1065
Practice Address - Country:US
Practice Address - Phone:609-773-8300
Practice Address - Fax:844-778-4260
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ1532800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner