Henderson, Jane

Henderson, Jane is an individual health care provider with primary practice located at 540 S Trimble Rd , Mansfield OH 44906-3418. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Henderson, Jane can be contacted via phone (419) 522-5454.

Contact Information

Primary practice address
540 S Trimble Rd Mansfield OH 44906-3418
Phone: (419) 522-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.022335 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.022335 Ohio

Profile Details

NPI number 1093204323
LBN Legal business name Henderson, Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2018
Last updated May 22nd, 2024 - about 6 months 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 1093204323 NPPES
Ohio MEDICAID 0303757

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