Individual
JENNIFER DAWN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8336
Mailing address
716 PHERSON ST APT 7, SITKA, AK 99835-7239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26634
AK
163W00000X
Registered Nurse
81297
SC
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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