MRS. JESSICA HENDERSON NP-C NPI 1790194314

NPI Information

MRS. Jessica Henderson, NP-C is a family nurse practitioner in Columbus, GA with 10 years of experience. MRS. Jessica Henderson, NP-C NPI is 1790194314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 MANCHESTER EXPY
STE 2001
COLUMBUS, GA
ZIP 31904-877
Phone: (706) 323-5552
Fax: (706) 324-5695

The NPI 1790194314 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 8/7/2014 and was last updated on 10/13/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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