Individual provider · Type 1 NPI

Jessica Henderson

Nurse Practitioner · Edgewood, KY

NPI number 1144033655 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Fax (859) 301-4963

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Other practice locations

  • 85 N Grand Ave, Fort Thomas, KY 41075-4027 · (859) 572-3100

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X4034651 (KY)
Nurse Practitioner Primary 363L00000X4034651 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144033655

Jessica Henderson's National Provider Identifier is 1144033655, issued on Jan 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Apr 29, 2025.