Individual
MS. JESSICA E HENDERSON
Active
Individual
MS. JESSICA E HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00230400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00230400
NJ LICENSE NUMBER
NJ
Enumeration date
12/14/2009
Last updated
03/16/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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