Organization
JEAN HENRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELETTE JACKSON AGPCNP-C (NURSE PRACTITIONER)
(804) 221-4579
Entity
Organization
Contact information
Practice address
3461 OLD CREEK RD, CHESTERFIELD, VA 23832-8324
(804) 221-4579
Mailing address
3461 OLD CREEK RD, CHESTERFIELD, VA 23832-8324
(804) 221-4579
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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