Individual
MRS. JENNA LEIGH HENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1535 HIGHLANDS DR STE 100, LITITZ, PA 17543-7681
(717) 624-4088
Mailing address
1535 HIGHLANDS DR STE 100, LITITZ, PA 17543-7681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103152312
—
PA
Enumeration date
03/19/2012
Last updated
08/08/2023
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