Individual
MRS. JENNIFER BOSARGE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5300
(228) 809-5566
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905457
MS
Other
Enumeration date
09/21/2022
Last updated
02/01/2023
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