Individual provider · Type 1 NPI
Jacqueline Lee Henry, APRN-NP
Family Nurse Practitioner · South Bend, IN
NPI number
1063239846
Active
Practice location
6301 University Commons
South Bend, IN 46635-1571
Fax (574) 232-0741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10033768 (OR) |
| Nurse Practitioner | 363L00000X | 10033768 (OR) |
| Registered Nurse | 163W00000X | 28301774A (IN) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in South Bend
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- Emilee Tehrani, NP-C, RNFamily Nurse Practitioner South Bend, IN NPI 1073042024
About NPI 1063239846
Jacqueline Lee Henry, APRN-NP's National Provider Identifier is 1063239846, issued on Sep 24, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Oct 7, 2026.