Individual
MS. JANNA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.150821
IL
207R00000X
Internal Medicine Physician
Primary
MD-54738
IA
208M00000X
Hospitalist Physician
036.150821
IL
390200000X
Student in an Organized Health Care Education/Training Program
MTL003706
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTL003706
MTL
DC
Enumeration date
07/21/2016
Last updated
06/17/2025
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