Henrikson, Jean Lynn

Henrikson, Jean Lynn is an individual health care provider with primary practice located at 2133 Office Park Dr Ste A , San Angelo TX 76904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Henrikson, Jean Lynn can be contacted via phone (325) 703-6670.

Contact Information

Primary practice address
2133 Office Park Dr Ste A San Angelo TX 76904
Phone: (325) 703-6670
Fax: (325) 703-6672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 668149 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP110098 Texas

Profile Details

NPI number 1326009739
LBN Legal business name Henrikson, Jean Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 3rd, 2018 - about 6 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 1326009739 NPPES
Texas MEDICAID 164744808
Texas MEDICAID 164744801

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