JACQUELINE HENDERSON (NPI# 1366851925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851925 |
| Entity Type | Individual |
| Full Name | JACQUELINE HENDERSON |
| Practice Address |
1601 Crabapple Cove Ct N Jacksonville FL 32225-2500 |
| Practice Telephone | 9045353623 |
| Mailing Telephone | 9045353623 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035846 | Jacqueline Henderson | Registered Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-04-15 |
| 1700382041 | Jacqueline Henderson | Technician | 1215 49th St Ne, Washington, DC 20019-3937 | 2018-04-04 |
| 1801131560 | Jacqueline Henderson | Counselor | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-12-06 |
| 1851600233 | Jacqueline Henderson | Registered Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2010-10-01 |
| 1033366331 | Jacqueline A Henderson | Physical Therapist | 110 E 42nd St, Suite 1504, New York, NY 10017-5611 | 2008-08-19 |
| 1366482358 | Jacqueline Henderson | Emergency Medicine | 301 W Homer St, Michigan City, IN 46360-4358 | 2006-06-07 |
| Street Address |
1601 CRABAPPLE COVE CT N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994446 | Secure Medical Staffing Inc. | Contractor | 25 N Market St Ste 241, Jacksonville, FL 32202-2802 | 2019-07-18 |
| 1417515909 | Charles E Jones | Contractor | 4123 Broad Creek Ln, Jacksonville, FL 32218-9189 | 2019-05-30 |
| 1912461393 | Robert Lance Jordan | Contractor | 8485 Mizner Cir E, Jacksonville, FL 32217-4326 | 2019-01-30 |
| 1467903625 | Janice Quarterman | Contractor | 4627 Crib Ct, Jacksonville, FL 32210-1412 | 2016-10-21 |
| 1629528021 | Chevelle L Alexander | Contractor | 8015 Degas Court, Jacksonville, FL 32277-3892 | 2016-10-10 |
| 1891244273 | Latrell Gaskin | Contractor | 3664 Brentwood Blvd, Jacksonville, FL 32206-1869 | 2016-09-27 |
| 1043769664 | Virginia Loving Services | Contractor | 8343 Princeton Square Blvd E, Apt 105, Jacksonville, FL 32256-8389 | 2016-09-23 |
| 1932560992 | Colleron Building Inspection Services LLC | Contractor | 2375 Saint Johns Bluff Rd S, South Unit 306, Jacksonville, FL 32246-2333 | 2016-03-17 |
| 1649654864 | Healthcare Management Solutions, LLC | Contractor | 4508 Capital Dome Dr, Jacksonville, FL 32246-7457 | 2015-07-17 |
| 1467830513 | Gloria Adesanya | Contractor | 3419 Glenn Hollow Ct, Jacksonville, FL 32226-2352 | 2015-05-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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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.