Jacqueline R Henry


Address: 718 W Macarty St, Jefferson City, MO 65101-1544
Phone: 5736198753

Jacqueline R Henry (NPI# 1962448696, PAC ID# 3173576980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1962448696
PAC ID by PECOS 3173576980
Professional Enrollment ID I20050222000004
Full Name Jacqueline R Henry
Address 718 W Macarty St
Jefferson City
MO 65101-1544
Phone Number 5736198753
Gender F
Credential CP
Graduation Year 2003
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
718 W Macarty St, Jefferson City, MO 65101-1544 5736198753

Organization Information

Office Location

Street Address 718 W MACARTY ST
City JEFFERSON CITY
State MO
Zip 65101-1544

Physicians in the same location

Name Specialty Organization Address
Alicia D Barnes Clinical Social Worker 718 W Macarty St, Jefferson City, MO 65101-1544

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Competitor

Search similar physicians

City JEFFERSON CITY
Zip Code 65101
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty JEFFERSON CITY + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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