JAMIE LYNN HENDERSON

SOUTH BEND, IN
NPI1194505206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28215294A)
Enumeration Date2023-10-05
Last Update Date2024-01-08
Business Address
JAMIE LYNN HENDERSON PMHNP
707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601-1071
Phone number: 574-647-8470
Mailing Address
JAMIE LYNN HENDERSON PMHNP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129