Henderson, Mary Jane

Henderson, Mary Jane is an individual health care provider with primary practice located at 15899 Los Gatos Almaden Rd Suite #12, Los Gatos CA 95032-3739. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henderson, Mary Jane can be contacted via phone (408) 358-2663.

Contact Information

Primary practice address
15899 Los Gatos Almaden Rd Suite #12 Los Gatos CA 95032-3739
Phone: (408) 358-2663
Fax: (408) 358-1683
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 448450 California

Profile Details

NPI number 1609865328
LBN Legal business name Henderson, Mary Jane
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 8th, 2007 - about 17 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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