Individual
MS. JEAN HENDERSON HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 235-3038
Mailing address
4005 CENTRAL DR, CLARKSTON, GA 30021-2814
(404) 932-4319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RNO75993
GA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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