MS. JENNIFER ANN HENDERSON (NPI# 1376194738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376194738 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ANN HENDERSON |
| Credential | RN |
| Practice Address |
837 Willett Road Jonesboro AR 72401-7240 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724050 |
| Practice Fax Number | 8709724018 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R79700 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437537891 | Jennifer Henderson | Social Worker | 1086 Brandon Ave, Simi Valley, CA 93065-4974 | 2015-05-18 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1134479272 | Jennifer A Henderson | Nurse Practitioner | 146 Passion Play Road, Eureka Springs, AR 72632 | 2012-09-17 |
| 1740597418 | Jennifer Henderson | Doula | 5680 Boston Blvd, White Lake, MI 48383-4112 | 2010-09-01 |
| 1104079219 | Jennifer Jean Henderson | Specialist | 341 Winslow Blvd, Winslow, AR 72959 | 2008-11-03 |
| 1962675249 | Jennifer M Henderson | Counselor | 328 S Central Ave Ste 210, Medford, OR 97501-7274 | 2008-04-08 |
| 1861594095 | Jennifer Beth Henderson | Counselor | 2235 S 10th Ave, Broadview, IL 60155-4027 | 2006-09-01 |
| 1316557275 | Jennifer Rae Henderson | Speech-Language Pathologist | 606 S Sycamore St, Blue Hill, NE 68930-3535 | 2020-08-05 |
| 1770102444 | Jennifer Hartwell Henderson | Speech-Language Pathologist | 1535 Vann Dr, Jackson, TN 38305-2095 | 2020-04-13 |
| 1437781838 | Jennifer Lynn Henderson | Counselor | 9 Harding Hwy, Elmer, NJ 08318-4401 | 2020-02-04 |
| Street Address |
837 WILLETT ROAD |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-7240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205845 | Jamie Lynn Echeverria | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| 1831737618 | Karma Dawn Schaechtel | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-12-12 |
| 1821636747 | Taurus Clay | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-12-11 |
| 1730725144 | Jennifer Marie Sims | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-11-20 |
| 1891338513 | Lauren Gayle Smith | Licensed Practical Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-10-25 |
| 1518500230 | Melissa Leana Bustamante | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-10-25 |
| 1437791290 | Sarah K Gillis | Licensed Practical Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-14 |
| 1073155263 | Melody Ann Boatright | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-09 |
| 1982246179 | Abbeegayl Grace Webb | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-09 |
| 1013559251 | Marla Jeanne Anderson | Case Manager/Care Coordinator | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1730725144 | Jennifer Marie Sims | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-11-20 |
| 1174164610 | Amanda Leigh Marks | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1396010518 | Charles Cy Cox | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2012-03-21 |
| 1548563448 | Lenora Fay Tripp | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-12-15 |
| 1396058624 | Mary Renee Johnson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2010-07-15 |
| 1861679144 | Linda Lee Matheson | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2008-01-29 |
| 1275713950 | Debbie L Russell | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-11-09 |
| 1194913772 | Shannon M Brewer | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-10-09 |
| 1790977858 | Debra Robbins | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-08-13 |
| Find all providers in JONESBORO | ||||
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| 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.