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Individual
JENNIFER RENEE HENDERSON
Active
Individual
JENNIFER RENEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
0993049
CO
363LA2100X
Acute Care Nurse Practitioner
0993049
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0993049-NP
CO
Other
Enumeration date
07/21/2017
Last updated
10/11/2022
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