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1194505206
JAMIE LYNN HENDERSON
SOUTH BEND, IN
NPI
1194505206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28215294A)
Enumeration Date
2023-10-05
Last Update Date
2024-01-08
Business Address
JAMIE LYNN HENDERSON PMHNP
707 N MICHIGAN ST STE 400
SOUTH BEND, IN 46601-1071
Phone number: 574-647-8470
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Mailing Address
JAMIE LYNN HENDERSON PMHNP
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number: 574-647-2129
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