Individual
JENNIFER WALKER HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
600 GRESHAM DRIVE, SUITE 8630, VIRGINIA BEACH, VA 23452
(757) 388-6115
Mailing address
600 GRESHAM DRIVE, SUITE 8630, VIRGINIA BEACH, VA 23452
(757) 388-6115
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
0001201142
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174652
VA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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