Jean Lynn Henrikson (NPI# 1326009739, PAC ID# 2163411760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326009739 |
| PAC ID by PECOS | 2163411760 |
| Professional Enrollment ID | I20040510000355 |
| Full Name | Jean Lynn Henrikson |
| Organization Legal Name | LECELT, INC |
| Address |
2133 Office Park Dr Suite A San Angelo TX 76904-6803 |
| Phone Number | 3257036670 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365713310 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450340 | SAN ANGELO COMMUNITY MEDICAL CENTER |
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 | 3257036670 | LECELT, INC |
| Organization Legal Name | LECELT, INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Richard Baker | Family Medicine | Lecelt, Inc | 2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 |
| Street Address |
2133 OFFICE PARK DR SUITE A |
| City | SAN ANGELO |
| State | TX |
| Zip | 76904-6803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Richard Baker | Family Medicine | Lecelt, Inc | 2133 Office Park Dr, Suite A, San Angelo, TX 76904-6803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Lance Pt Ayers | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Scott Westmoreland | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Milo D Anderson | Podiatry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Amber Michelle Moreland | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shun H Lui | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Shauna Owens | Physical Therapy | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Matthew A Goldman | Ophthalmology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Eugene W Stokes | Gastroenterology | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Debra J Hamilton | Qualified Audiologist | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Find all physicians in zip 76904 | |||
| City | SAN ANGELO |
| Zip Code | 76904 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN ANGELO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jean Lynn Henrikson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.