Individual provider · Type 1 NPI
Jacqueline Tate Henson, NP
Family Nurse Practitioner · Lafayette, LA
NPI number
1366730624
Active
Practice location
300 West St. Mary Blvd
Lafayette, LA 70506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN105121-AP06557 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366730624
Jacqueline Tate Henson, NP's National Provider Identifier is 1366730624, issued on Jul 20, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 20, 2011.