Individual
JACQUELINE RENEE' HENBEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-7209
(417) 355-9407
Mailing address
212 SANDY FOREST LN, CLEVER, MO 65631-6840
(417) 229-2188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021010391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-0683057
MEDICARE
MO
05
—
26-0683057
—
MO
Enumeration date
05/04/2021
Last updated
03/26/2025
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