Individual
JENAE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1213 RIDGEWAY RD # 104, MEMPHIS, TN 38119-5316
(901) 509-8205
Mailing address
1213 RIDGEWAY RD # 104, MEMPHIS, TN 38119-5316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33386
TN
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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