CRAIG DAMON HENRY MSN APRN FNP-C NPI 1639717713

NPI Information

NPI: 1639717713
Provider Name: CRAIG DAMON HENRY, MSN, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1824 HOSPITAL DR
JACKSON, MS
ZIP 39204
Phone: (601) 346-4586
Get Directions

Craig Damon Henry, MSN, APRN, FNP-C is a family nurse practitioner in Jackson, MS. Craig Damon Henry, MSN, APRN, FNP-C NPI is 1639717713. 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:

1824 HOSPITAL DR
JACKSON, MS
ZIP 39204-410
Phone: (601) 346-4586
Fax: (601) 346-4587

The NPI 1639717713 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 12/19/2019 and was last updated on 12/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1600X	Registered Nurse	Continuing Education/Staff Development	903338	MISSISSIPPI	No
2	163WH1000X	Registered Nurse	Hospice	903338	MISSISSIPPI	No
3	163WI0500X	Registered Nurse	Infusion Therapy	903338	MISSISSIPPI	No
4	163WN1003X	Registered Nurse	Nutrition Support	903338	MISSISSIPPI	No
5	163WW0000X	Registered Nurse	Wound Care	903338	MISSISSIPPI	No
6	163WX0200X	Registered Nurse	Oncology	903338	MISSISSIPPI	No
7	207X00000X	Orthopaedic Surgery		903338	MISSISSIPPI	No
8	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	903338	MISSISSIPPI	No
9	207XX0005X	Orthopaedic Surgery	Sports Medicine	903338	MISSISSIPPI	No
10	363LF0000X	Nurse Practitioner	Family	903338	MISSISSIPPI	Yes
11	363LP0200X	Nurse Practitioner	Pediatrics	903338	MISSISSIPPI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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