JESSICA ANDREA HENDERSON (NPI# 1588204077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588204077 |
| Entity Type | Individual |
| Full Name | JESSICA ANDREA HENDERSON |
| Credential | NP |
| Practice Address |
113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 |
| Practice Telephone | 8302674575 |
| Practice Fax Number | 8302674575 |
| Mailing Telephone | 8302674575 |
| Mailing Fax Number | 8302674575 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144323 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154524 | Jessica Henderson | Massage Therapist | 6010 Balcones Dr Ste 260, Austin, TX 78731-4294 | 2015-09-22 |
| 1548607005 | Jessica L Henderson | Social Worker | 3725 Lilly Rd N, Jacksonville, FL 32207-2343 | 2013-05-23 |
| 1659612059 | Jessica Henderson | Behavioral Analyst | 1640 Ribaut Rd Apt 101, Port Royal, SC 29935-1737 | 2013-03-09 |
| 1194905265 | Jessica Janel Henderson | Speech-Language Pathologist | 10876 Eclipse Lily Way, Orlando, FL 32832-5882 | 2007-11-06 |
| 1659988020 | Jessica Henderson | Physical Therapist | 134 Hall St Unit 1, Concord, NH 03301-3470 | 2020-09-29 |
| 1083227060 | Jessica Lynn Henderson | Nurse Practitioner | 200 Glenn St Ste 302, Cumberland, MD 21502-2583 | 2020-08-28 |
| 1336705425 | Jessica Henderson | Behavioral Analyst | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2019-05-14 |
| 1497214787 | Jessica Henderson | Case Manager/Care Coordinator | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2019-03-16 |
| 1982195681 | Jessica Henderson | Behavioral Analyst | 2110 Los Feliz St Unit 2072, Las Vegas, NV 89156-8026 | 2018-05-29 |
| 1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
| Street Address |
113 PLEASANT VALLEY DR STE 210 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415006 | Melinda K Hoffman | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2005-08-25 |
| 1679124333 | Victor Manuel Armendariz | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-09-24 |
| 1326696485 | Laura Michelle Bauml | Psychologist | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-08-30 |
| 1821658865 | William Brian Green | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-20 |
| 1467010702 | Teresa Beard | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-02 |
| 1528623162 | Tammie A Kampa | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006 | 2019-05-09 |
| 1578036026 | Kayla Lien Himphayvanh | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-01-08 |
| 1972072262 | Kathleen M Jordan | Social Worker | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2018-11-16 |
| 1619404795 | Centric Physicians Gulf Region Pllc | Family Medicine | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2017-05-19 |
| 1528419363 | Sherri A Pena | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331117 | Rabecca Teich | Nurse Practitioner | 37131 Interstate 10 W # 400, Boerne, TX 78006-8989 | 2018-10-10 |
| 1710342373 | Kimberly Sweeney | Nurse Practitioner | 1201 S Main St Ste 110, Boerne, TX 78006-2838 | 2015-12-28 |
| 1437529229 | Lauren Marie Stehling | Nurse Practitioner | 37131 Interstate 10 W # 101, Boerne, TX 78006-8989 | 2015-10-06 |
| 1689066797 | Elizabeth Ann Harkins | Nurse Practitioner | 122 Commerce Ave, Boerne, TX 78006-3060 | 2015-02-26 |
| 1043648702 | Lisa Archer | Nurse Practitioner | 29607 Terra Bella, Boerne, TX 78015-4572 | 2013-10-16 |
| 1548535636 | Kelle Pardi | Nurse Practitioner | 16 Comanche Trl, Boerne, TX 78006-6202 | 2012-03-21 |
| 1275818593 | Nancy Diane Beebe | Nurse Practitioner | 31007 Interstate 10 W Ste 115, Boerne, TX 78006-9265 | 2011-10-18 |
| 1306822838 | Martin Joseph Mcgee | Nurse Practitioner | 192 Horizon Crst, Boerne, TX 78006-6050 | 2005-12-16 |
| 1073156584 | Rochelle Marie Huntsman | Nurse Practitioner | 105 Falls Ct Ste 100, Boerne, TX 78006 | 2019-10-28 |
| 1467010702 | Teresa Beard | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-02 |
| Find all providers in BOERNE | ||||
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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.