JENNIFER L HENSON (NPI# 1063448090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063448090 |
| Entity Type | Individual |
| Full Name | JENNIFER L HENSON |
| Credential | PA |
| Practice Address |
1571 Highway 21 S Springfield GA 31329-3099 |
| Mailing Address |
1571 Highway 21 S Springfield GA 31329-5214 |
| Practice Telephone | 9127547500 |
| Practice Fax Number | 9127547505 |
| Mailing Telephone | 9127547500 |
| Mailing Fax Number | 9127547505 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004058 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 057423998B | 05 | |
| GA | 057423988A | 05 | |
| GA | AMERIGROUP | 1005914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073995445 | Jennifer Suzanne Henson | Obstetrics & Gynecology | 1950 Arlington St Ste 203, Sarasota, FL 34239-3516 | 2015-06-22 |
| 1144737248 | Jennifer Henson | Registered Nurse | 929 Stacey Burk Dr, Flora, IL 62839-3241 | 2018-01-10 |
| 1548701444 | Jennifer Walker Henson | Registered Nurse | 600 Gresham Drive, Suite 8630, Virginia Beach, VA 23452 | 2017-03-13 |
| 1831529692 | Jennifer Lynn Henson | Counselor | 1325 Windsor St, Huntsville, TX 77340-5615 | 2013-11-14 |
| 1558529552 | Jennifer A. Henson | Audiologist | 3185 W State St, Suite 2010, Bristol, TN 37620-1610 | 2008-05-27 |
| 1548483076 | Jennifer T Henson | Family Medicine | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2007-04-11 |
| 1194705608 | Jennifer Henson | Optometrist | 1235 San Marco Blvd, Suite 301, Jacksonville, FL 32207-8554 | 2006-01-19 |
| Street Address |
1571 HIGHWAY 21 S |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781766 | Kelli Stewart | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329-5214 | 2019-07-15 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| 1396262267 | Victoria Sikes | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329-5214 | 2017-08-23 |
| 1003060369 | Effingham Medical Partners, LLC | Internal Medicine | 1571 Highway 21 S, Springfield, GA 31329 | 2008-11-12 |
| 1730280512 | Joseph Larkin Ratchford | Internal Medicine | 1571 Highway 21 S, Springfield, GA 31329 | 2006-09-26 |
| 1700987575 | Prakash Bhanughac Patel | Internal Medicine | 1571 Highway 21 S, Springfield, GA 31329-5214 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1104339811 | Stacie Colello | Registered Nurse | 802 Highway 119 South, Springfield, GA 31329 | 2017-11-16 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
Please comment or provide details below to improve the information on JENNIFER L HENSON.
| 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.