Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA A HENNINGSEN, PA
ActiveJESSICA A HENNINGSEN, PA is a Physician Assistant healthcare provider located in PROSPECT, Kentucky. NPI 1699225482 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PROSPECT, KY
Registration Details
- NPI Number
- 1699225482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2016 (9.8728819453645 yrs)
- Last Updated
- Mar 11, 2025
- Licenses
-
SP561493 (OH)50.004805RX (OH)363A00000X (KY)
Practice Information
- Address
-
9301 DAYFLOWER ST STE 100PROSPECT, KY, 400597585Browse KY providers · Browse ZIP 40059
- Phone
- 5023268588
- Fax
- 5023268589
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PROSPECT, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. ERIN ELIZABETH CHALMERS | PA-C | 1477707776 |
| MRS. CATHERINE BICKEL BOOKER | PA-C | 1316389927 |
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.