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JENNIFER M HENRY CHP-C

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1295005213

Individual Registrant:
 JENNIFER M HENRY CHP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
AIRPORT ROAD 189  UNALAKLEET, AK 99684 US
Tel: 907-624-3535  Fax: 907-624-3692

Contact information for business:
P.O. BOX 189  UNALAKLEET, AK 99684 US
Tel: 907-923-3311  Fax: 907-923-2287

Registration Information:
NPI: 1295005213
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK07-927-P
N172V00000XOther Service Providers
Community Health Worker
AK07-924-IV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHA IV07-924-IVAK01




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