Individual
JEFFREY HEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4009 KENNY DR, STOCKTON, CA 95212-3458
(209) 616-2310
Mailing address
4009 KENNY DR, STOCKTON, CA 95212-3458
(209) 616-2310
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95159147
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002301
CA
Other
Enumeration date
06/29/2021
Last updated
05/07/2026
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