MS. JESSICA LYNN HENDERSON (NPI# 1083227060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083227060 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LYNN HENDERSON |
| Credential | CRNP |
| Practice Address |
200 Glenn St Ste 302 Cumberland MD 21502-2583 |
| Mailing Address |
13046 Independence Rd Clear Spring MD 21722-1523 |
| Practice Telephone | 2405801919 |
| Mailing Telephone | 2405200200 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R190781 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154524 | Jessica Henderson | Massage Therapist | 6010 Balcones Dr Ste 260, Austin, TX 78731-4294 | 2015-09-22 |
| 1548607005 | Jessica L Henderson | Social Worker | 3725 Lilly Rd N, Jacksonville, FL 32207-2343 | 2013-05-23 |
| 1659612059 | Jessica Henderson | Behavioral Analyst | 1640 Ribaut Rd Apt 101, Port Royal, SC 29935-1737 | 2013-03-09 |
| 1194905265 | Jessica Janel Henderson | Speech-Language Pathologist | 10876 Eclipse Lily Way, Orlando, FL 32832-5882 | 2007-11-06 |
| 1659988020 | Jessica Henderson | Physical Therapist | 134 Hall St Unit 1, Concord, NH 03301-3470 | 2020-09-29 |
| 1588204077 | Jessica Andrea Henderson | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2020-01-13 |
| 1336705425 | Jessica Henderson | Behavioral Analyst | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2019-05-14 |
| 1497214787 | Jessica Henderson | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-03-16 |
| 1982195681 | Jessica Henderson | Behavioral Analyst | 2110 Los Feliz St Unit 2072, Las Vegas, NV 89156-8026 | 2018-05-29 |
| 1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
| Street Address |
200 GLENN ST STE 302 |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699097378 | Committed To Change, P.C. | Psychiatry & Neurology | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2010-02-22 |
| 1154948404 | Claire V Raesch | Counselor | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2020-07-02 |
| 1578090700 | Amy Lander | Social Worker | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2017-05-18 |
| 1710414958 | Mary Trumbule | Social Worker | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2017-05-18 |
| 1821525148 | Leah Richele Miltenberger | Social Worker | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797416 | Ascensions Wellness LLC | Nurse Practitioner | 618 N Mechanic St, Cumberland, MD 21502-2113 | 2020-07-17 |
| 1447621925 | Sarah Wempe | Nurse Practitioner | 300 East Oldtown Road Suite 1, Villa Maria of Mountain Maryland, Cumberland, MD 21502 | 2015-10-09 |
| 1073864203 | Howard J Faulkner | Nurse Practitioner | 208 N Centre St, Cumberland, MD 21502-2226 | 2012-09-27 |
| 1063033702 | Zimela Wellness Center, LLC | Nurse Practitioner | 11602 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2020-05-05 |
| 1326580473 | Diana Dawn Pryor | Nurse Practitioner | 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 | 2016-11-07 |
| 1679957120 | Allegany Behavioral Medicine | Nurse Practitioner | 517 E Oldtown Rd, Cumberland, MD 21502-3687 | 2015-07-15 |
| 1528479094 | Positive Progression, PC | Nurse Practitioner | 208 N Centre St, Cumberland, MD 21502-2226 | 2014-05-18 |
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|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.