Henault, Jenna Leigh
Henault, Jenna Leigh is an individual health care provider with primary practice located at 1535 Highlands Dr Ste 100 , Lititz PA 17543-7681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henault, Jenna Leigh can be contacted via phone (717) 624-4088.Contact Information
Primary practice address
1535 Highlands Dr Ste 100
Lititz PA 17543-7681
Phone: (717) 624-4088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA055350 | Pennsylvania |
Profile Details
| NPI number | 1922373281 |
|---|---|
| LBN Legal business name | Henault, Jenna Leigh |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2012 |
| Last updated | Aug 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922373281 | NPPES |
| Pennsylvania | MEDICAID | 103152312 |
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