Jessica Henry, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Cresskill, NJ
NPI 1104152610 · NPPES record last updated Oct 19, 2009
Key facts
- NPI
- 1104152610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- F430477-1 (NY)
- Practice address
- 98 Linwood Ave
Cresskill, NJ 07626-2155 - Phone
- (201) 294-5476
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F430477-1 | NY | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F430477-1 | NY | Yes |
Addresses
Primary practice location
98 Linwood Ave
Cresskill, NJ 07626-2155
Mailing address
98 Linwood Ave
Cresskill, NJ 07626-2155
Other providers in Cresskill, NJ
- Phyllis C. Hancock
- HCP Cresskill NJ Opco, LLC
- HCP S-H Opco TRS, LLC
- HCP S-H Opco TRS, LLC
- Health and Endurance Medical P.C.
- Cheysser Hernandez
- Danielle Hillman
- Jessica Mary Hillman
- Robert William Hoenshel
- Betty A. Hoskins
All providers in Cresskill, NJ · Acute Care Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.