Individual
JASMINE ALECIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6675 BUSINESS PKWY, ELKRIDGE, MD 21075-6349
(866) 799-5886
Mailing address
601 QUACCO RD UNIT 1108, SAVANNAH, GA 31419-4023
(912) 501-9005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
24683
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
RN230138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7404
—
SC
01
—
RN230138
NURSING LICENSE NUMBER
GA
Enumeration date
07/31/2020
Last updated
11/11/2025
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