Jane Ellen Henry is a Family in St Augustine, Florida. Jane Ellen Henry practices all healthcare services and medical treatments related to Family. The NPI Number for Jane Ellen Henry is 1780658617. The last update date is 2023-01-24.
Jane Ellen Henry's current location address is 580 State Road 206 West, St Augustine, Florida. You can contact this provider via phone number 9546953643 and fax number 9546953643. The mailing address for Jane Ellen Henry is 580 State Road 206 West, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jane Ellen Henry |
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Address | 580 State Road 206 West, St Augustine, Florida |
Phone Number | 9546953643 |
Fax Number | 9546953643 |
Sole Proprietor | N |
Credentials | APRN |
NPI Number Detail
NPI Number | 1780658617 |
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Provider Enumeration Date | 2006-02-15 |
Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
Address | 580 State Road 206 West |
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City | St Augustine |
State | Florida (FL) |
Post Code | 32086 |
Phone Number | 9546953643 |
Fax Number | 9546953643 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 3000182 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
AC299 | FL | MEDICARE GROUP NUMBER | |
P00381167 | FL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jane Ellen Henry by the Centers for Medicare & Medicaid Services?
The Jane Ellen Henry has been assigned the NPI (National Provider Identifier) 1780658617. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jane Ellen Henry is located?
The Jane Ellen Henry is situated at the following address: 580 State Road 206 West, St Augustine, FL, 32086.
What is Jane Ellen Henry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jane Ellen Henry is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Jane Ellen Henry receive its 1780658617 assignment from the Centers for Medicare & Medicaid Services?
The Jane Ellen Henry was assigned its 1780658617 by the Centers for Medicare & Medicaid Services on 2006-02-15.
When was the information related to Jane Ellen Henry most recently updated or refreshed?
The details pertaining to the Jane Ellen Henry, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-24.