Individual
JEROME HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
721 MADISON ST SE, HUNTSVILLE, AL 35801-4408
(256) 533-4888
Mailing address
721 MADISON ST SE, HUNTSVILLE, AL 35801-4408
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
53
WI
367H00000X
Anesthesiologist Assistant
Primary
AA268
FL
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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