Individual provider · Type 1 NPI
Jennifer Sue Henn, ATC, MBA
Other Specialist/Technologist · Fort Wayne, IN
NPI number
1477916229
Active
Practice location
5050 N Clinton St
Fort Wayne, IN 46825-5886
Mailing address
6311 Shadow Ridge Run
Fort Wayne, IN 46804-4290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 36002067A (IN) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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About NPI 1477916229
Jennifer Sue Henn, ATC, MBA's National Provider Identifier is 1477916229, issued on Mar 30, 2016. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 30, 2016.