Henderson, Jessica E

Henderson, Jessica E is an individual health care provider with primary practice located at 32 Corbett Way , Eatontown NJ 07724-2263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Henderson, Jessica E can be contacted via phone (732) 460-9555.

Contact Information

Primary practice address
32 Corbett Way Eatontown NJ 07724-2263
Phone: (732) 460-9555
Fax: (732) 460-0699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00230400 New Jersey

Profile Details

NPI number 1659600070
LBN Legal business name Henderson, Jessica E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Mar 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659600070 NPPES
New Jersey Other 25MP00230400 NJ LICENSE NUMBER

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