Individual
JENNIFER M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP-C
Contact information
Practice address
AIRPORT ROAD 189, UNALAKLEET, AK 99684
(907) 624-3535
(907) 624-3692
Mailing address
P.O. BOX 189, UNALAKLEET, AK 99684
(907) 923-3311
(907) 923-2287
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
07-924-IV
AK
172V00000X
Community Health Worker
Primary
07-927-P
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-924-IV
CHA IV
AK
Enumeration date
01/06/2012
Last updated
05/14/2015
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