Individual
MS. JANA HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 E JEFFERSON ST, PULASKI, TN 38478-3546
(931) 638-7635
Mailing address
1135 E JEFFERSON ST, PULASKI, TN 38478-3546
(931) 638-7635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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