Individual
JENNIFER LENORE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011853
NC
363LF0000X
Family Nurse Practitioner
0024183038
VA
363LF0000X
Family Nurse Practitioner
Primary
5011853
NC
Other
Enumeration date
06/10/2019
Last updated
02/18/2022
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