Individual
JACQLYN MARGARET HENIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
(215) 840-8891
Mailing address
1400 CHURCHILL RD, WYNDMOOR, PA 19038-7604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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