Individual
MRS. JUANITA LORRAINE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3136 OAK SPRING, COLUMBUS, OH 43219-2911
(614) 571-5376
Mailing address
3136 OAK SPRING ST, COLUMBUS, OH 43219-3021
(614) 571-5376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
315532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2541315
—
OH
Enumeration date
12/21/2007
Last updated
05/07/2024
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