| NPI | 1366774879 |
|---|---|
| Other Name | JENNIFER L HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS r872972) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R872972) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2021-02-16 |