Individual
JANE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 S TRIMBLE RD, MANSFIELD, OH 44906-3418
(419) 522-5454
Mailing address
2139 RANDOM DR, MANSFIELD, OH 44904-1689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303757
—
OH
Enumeration date
05/02/2018
Last updated
03/17/2026
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