Individual provider · Type 1 NPI

Jacqueline Henderson

Psychiatric/Mental Health Nurse Practitioner · Jacksonville, FL

NPI number 1366851925 Active

Practice location

10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9439791 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11050975 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1366851925

Jacqueline Henderson's National Provider Identifier is 1366851925, issued on Aug 7, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 1, 2026.