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Individual

JACLYN HENKHAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3455 RINGSBY CT, UNIT 102, DENVER, CO 80216-4922
(303) 500-1518
Mailing address
3455 RINGSBY CT, UNIT102, DENVER, CO 80216-4922
(303) 500-1518

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
09910905-NP
CO
363L00000X
Nurse Practitioner
201504046NP-PP
OR
363L00000X
Nurse Practitioner
APRN002683
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN002683
NV LICENSE
NV
Enumeration date
03/05/2015
Last updated
05/20/2019
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