Individual
DR. JENNIFER HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1990 BROOKS BLUFF CV, COLLIERVILLE, TN 38017-0854
(757) 469-6367
Mailing address
1990 BROOKS BLUFF CV, COLLIERVILLE, TN 38017-0854
(757) 469-6367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036614500
—
FL
Enumeration date
01/19/2006
Last updated
02/24/2022
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