Individual provider · Type 1 NPI
Jenna L. Henderson
Licensed Practical Nurse · Wagram, NC
NPI number
1861312472
Active
Practice location
18660 Ace Dr
Wagram, NC 28396-9371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 90107 (NC) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1861312472
Jenna L. Henderson's National Provider Identifier is 1861312472, issued on Jul 16, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wagram, NC. The record was last updated on Jul 16, 2026.