Individual
JESSICA R HENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - GENERAL SURGERY, LEBANON, NH 03756
(603) 650-5211
Mailing address
1 MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - GENERAL SURGERY, LEBANON, NH 03756
(603) 650-5211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11310
MN
363A00000X
Physician Assistant
1253
NH
363AM0700X
Medical Physician Assistant
Primary
1253
NH
363AM0700X
Medical Physician Assistant
PA4261
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
11/03/2011
Last updated
03/17/2018
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