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Individual

JENNIFER ANDREA HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5605 N MACARTHUR BLVD STE 220, IRVING, TX 75038-2659
(972) 714-0034
Mailing address
3016 SOUTHMOOR TRL, FLOWER MOUND, TX 75022-1055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758800
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
758800
TX

Other

Enumeration date
11/15/2013
Last updated
10/26/2017
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