person
Mrs. Jane Ellen Henry, APRN
Family Nurse Practitioner in St Augustine, Florida
NPI 1780658617

Jane Ellen Henry is a Family Nurse Practitioner based in St Augustine, FL and is specialized in Family. Jane Ellen Henry practices in St Augustine, FL and has the professional credentials of APRN. The NPI Number for Jane Ellen Henry is 1780658617 and holds a License No. 3000182 (Florida).

The current practice location address for Jane Ellen Henry is 580 State Road 206 West, St Augustine, FL and can be reached out via phone at 954-695-3643 and via fax at 954-695-3643.

Location: 580 State Road 206 West, St Augustine, FL, 32086
person
Provider Profile Details
NPI Number
1780658617
Provider Name
Jane Ellen Henry
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
580 State Road 206 West, St Augustine, FL, 32086
Phone Number
954-695-3643
Fax Number
954-695-3643
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AC299 01 FL MEDICARE GROUP NUMBER
P00381167 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
580 State Road 206 West
City
State
Zip
32086
Phone Number
954-695-3643
Fax Number
954-695-3643
person
Provider Business Mailing Address Details
Address
580 State Road 206 West
City
State
Zip
32086
Phone Number
954-695-3643
Fax Number
954-695-3643
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3000182 (Florida)
Definition
Definition to come...
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