Dr CAROL-JEAN HENNESSY is a female medical professional, specializing in Nurse Practitioner. She graduated in 1995.
EL CENTRO FAMILY HEALTH
711 BOND ST
ESPANOLA
NM
875322729
Tel: 5057539503
| Npi | 1700825684 |
| Pac Id | 0345335592 |
| Professional Enrollment Id | I20170425001081 |
| Last Name | HENNESSY |
| First Name | CAROL-JEAN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | EL CENTRO FAMILY HEALTH |
| Group Practice Pac Id | 9830080688 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 711 BOND ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ESPANOLA |
| State | NM |
| Zip Code | 875322729 |
| Phone Number | 5057539503 |
| Hospital Affiliation Ccn 1 | 320011 |
| Hospital Affiliation Lbn 1 | PRESBYTERIAN ESPANOLA HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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