Individual
JENNIFER HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 NEW CENTURY BLVD S, MAPLEWOOD, MN 55119-5988
(651) 491-1085
Mailing address
901 NEW CENTURY BLVD S, MAPLEWOOD, MN 55119-5988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-156048-4
MN
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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