Individual
ALYSSA JEAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E BROADWAY, COLUMBIA, MO 65201-4979
(573) 442-2211
Mailing address
1408 23RD ST S, FARGO, ND 58103-3709
(701) 318-8866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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