Individual provider · Type 1 NPI

Jacob Ray Henderson, DO

Nephrology Physician · Jacksonville, FL

NPI number 1487232401 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Other practice locations

  • 2123 Auburn Ave Ste 235, Cincinnati, OH 45219-2906 · (513) 585-3238

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XOS21003 (FL)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1487232401

Jacob Ray Henderson, DO's National Provider Identifier is 1487232401, issued on Mar 31, 2021. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 21, 2024.