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NPI Profile for JESSICA HENDERSON in COLUMBUS, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1790194314 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 08/07/2014 | |
| Last updated | 10/13/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JESSICA HENDERSON
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JESSICA HENDERSON, NP-C