Individual
MRS. JENNIFER CHANDRA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4441
(907) 714-4699
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4444
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1572915
—
AK
Enumeration date
06/16/2006
Last updated
10/07/2020
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