Individual provider · Type 1 NPI

Jacquelynn Dian Henderson, PA-C

Physician Assistant · Phoenix, AZ

NPI number 1003875253 Active

Practice location

4800 N 22nd St
Phoenix, AZ 85016-4701

Call (602) 955-1000 Map

Fax (602) 508-4830

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA13970 (CA)
Physician Assistant Primary 363A00000X5994 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003875253

Jacquelynn Dian Henderson, PA-C's National Provider Identifier is 1003875253, issued on Mar 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 11, 2016.