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General NPI Number Information
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NPI Number | 1134479272
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Entity Type | Individual
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Provider Name | JENNIFER A HENDERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1246 US-377 SUITE C
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City | PILOT POINT
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State | TX
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Zip | 76258
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Country | US
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Telephone | 940-686-2254
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Fax | 940-686-2830
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Provider Business Mailing Address
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Address Line | 1512 TEASLEY LN
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City | DENTON
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State | TX
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Zip | 76205-7282
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Country | US
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Telephone | 940-442-5209
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Fax | 940-222-2720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003771
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131905
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License Number State | TX
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