JENNIFER HENLEY


Address: 3502 W Northside Dr, Jackson, MS 39213-4454
Phone: 6013625321

JENNIFER HENLEY (NPI# 1578037172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578037172
Entity Type Individual
Full Name JENNIFER HENLEY
Credential FNP-C
Practice Address 3502 W Northside Dr
Jackson
MS 39213-4454
Mailing Address Po Box 3437
Jackson
MS 39207-3437
Practice Telephone 6013625321
Mailing Telephone 6013625321
Mailing Fax Number 6013645159
Enumeration Date 2019-01-16
Last Update Date 2020-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine AP140103 TX Allopathic & Osteopathic Physicians
Y 363LF0000X Nurse Practitioner
Specialization: Family
903852 MS Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10009 N Macarthur Blvd Ste 109, Irving, TX 750635082 2148129603 2148129572

Other Providers JENNIFER HENLEY

NPI Name Taxonomy Address Enumeration
1134641814 Jennifer Henley Registered Nurse 2000 10th Ave Ste 100, Columbus, GA 31901-3703 2017-07-13
1083253694 Jennifer Henley Social Worker 425 Broadway St Ste 202, Paducah, KY 42001-0713 2019-12-30
1467943589 Jennifer Lynn Henley Student in an Organized Health Care Education/Training Program 1501 Kings Highway, Pathology, Shreveport, LA 71130 2018-05-24
1841416781 Jennifer Henley Dentist 416 Ashley Ridge Blvd, Shreveport, LA 71106-7228 2007-04-18

Office Location

Street Address 3502 W NORTHSIDE DR
City JACKSON
State MS
Zip Code 39213-4454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952386559 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3502 W Northside Dr, Jackson, MS 39213-4454 2005-12-07
1689217812 Ebony Martin Case Manager/Care Coordinator 3502 W Northside Dr, Jackson, MS 39213-4454 2019-10-21
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1013473891 Ericia Latrice Cannon Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2019-02-16
1003388968 Tiffani Ricchele Mcknight Social Worker 3502 W Northside Dr, Jackson, MS 39213-4454 2018-12-17
1356810360 Thrishanna Clark Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-11-19
1376034660 Sirna Musa Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-05-23
1033649058 Central Mississippi Civic Improvement Association, Inc. Clinic/Center 3502 W Northside Dr, Jackson, MS 39213-4454 2017-06-13
1013451780 Katrice Pacley Andrews Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-12-14
1952853731 Beverly Carson Washington Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-10-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
1801406335 Jade Russell Nurse Practitioner 2205 W Morrell St, Jackson, MI 49203-1357 2020-08-10
1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
1902376361 Jenay B Krumm Nurse Practitioner 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 2018-11-28
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Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

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.

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