Individual
MRS. JESSICA KAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E LOCUST ST, BLOOMFIELD, IA 52537-1458
(641) 664-3602
(641) 664-3765
Mailing address
PO BOX 54, BLOOMFIELD, IA 52537-0054
(641) 664-3602
(641) 664-3765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D110959
IA
Other
Enumeration date
07/16/2008
Last updated
03/06/2012
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