National Provider Identifier Database

JENIFER L HENDERSON, MD – NPI #1366574501
Plastic Surgery Within the Head and Neck

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.


Contact Information

JENIFER L HENDERSON, MD
2011 NW MYHRE PL
SILVERDALE, WA98383-8561
Phone: 360-830-1755
Fax: 360-830-1782
Website:
Specialty Taxonomy Code
* Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for JENIFER L HENDERSON

NPI Number 1366574501
Credentials MD
Entity Individual
Enumeration date 03/12/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • WA License #: MD00037936
  • WA Medicaid: 8252181
  • Other: 8918HE REGENCE
  • WA Other: 242391 LABOR & INDUSTRIES
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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