Individual
JENNIFER HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 10TH AVE STE 100, COLUMBUS, GA 31901-3703
(706) 571-1519
(706) 660-6518
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 494-4300
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN116864
GA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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