Individual
JENNIFER HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CHC
Contact information
Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-2191
Mailing address
310 HICKORY ST, FLORA, IL 62839-1068
(618) 919-0517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041349142
IL
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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