Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYNN DIAN HENDERSON, PA-C
ActiveJACQUELYNN DIAN HENDERSON, PA-C is a Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1003875253 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1003875253
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2006 (20.392481356843 yrs)
- Last Updated
- Jan 11, 2016
- Licenses
-
PA13970 (CA)5994 (AZ)
Practice Information
- Address
-
4800 N 22ND STPHOENIX, AZ, 850164701Browse AZ providers · Browse ZIP 85016
- Phone
- 6029551000
- Fax
- 6025084830
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JEANNETTE VAUGHN-DOTTERER | DMSC, PA-C | 1407859416 |
| MICHAEL D RICHARDS | PA | 1306840707 |
| LINDSEY A STEBER | PA-C | 1568468114 |
| DEBORAH JOYCE LADER | P.A.-C. | 1720086994 |
| DONDII DELGADO | PA-C | 1033119532 |
| DEANNA SINGER | P.A.-C | 1467452508 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.