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Individual

JENNIFER L HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
(701) 364-3160
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R27235
ND

Other

Enumeration date
09/10/2018
Last updated
01/21/2021
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