Individual provider · Type 1 NPI

Jacob Patrick Henderson, MD

Student in an Organized Health Care Education/Training Program · Tallahassee, FL

NPI number 1992440895 Active

Practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992440895

Jacob Patrick Henderson, MD's National Provider Identifier is 1992440895, issued on May 4, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tallahassee, FL. The record was last updated on May 4, 2022.