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NPI Code Detail

MEDICARE: JHEANELLE HENRY

MEDICARE:   JHEANELLE  HENRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972925071
Entity Type Code : Individual
Provider Name (Legal Business Name) : JHEANELLE HENRY
Provider Business Mailing Address
First Line : 2867 FOREST HILLS BLVD APT 7
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5472
Country : US
Telephone Number : 561-385-5969
Fax Number :
Provider Business Practice Location Address
First Line : 2867 FOREST HILLS BLVD APT 7
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5472
Country : US
Telephone Number : 561-385-5969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2014
Last Update Date : 05/04/2026

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Directions to “ JHEANELLE HENRY ” Practice Location

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