MR. Jesse Lee Henneberg, APN is a neonatal nurse practitioner in Peoria, IL. MR. Jesse Lee Henneberg, APN NPI is 1316299456. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637-001
Phone: (309) 624-0629
The NPI 1316299456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/14/2012 and was last updated on 7/19/2021.