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Individual
MRS. JANE ELLEN HENRY
Active
Individual
MRS. JANE ELLEN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3000182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC299
MEDICARE GROUP NUMBER
FL
01
—
P00381167
RR MEDICARE
FL
Enumeration date
02/15/2006
Last updated
01/24/2023
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