Individual
MRS. JESSICA HENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CPM, FNP-C
Contact information
Practice address
1082 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(314) 944-3646
(314) 405-9464
Mailing address
1082 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(314) 944-3646
(314) 405-9464
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
363LF0000X
Family Nurse Practitioner
Primary
2024033707
MO
367A00000X
Advanced Practice Midwife
2010015977
MO
Other
Enumeration date
06/09/2010
Last updated
09/18/2024
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