Jacey Henry
Individual provider Active NPI Speech-Language Assistant · Mayflower, AR
NPI 1104703172 · NPPES record last updated Aug 20, 2025
Key facts
- NPI
- 1104703172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 582 Highway 365 Ste 3
Mayflower, AR 72106-9525 - Phone
- (501) 470-5936
- Fax
- (501) 470-3500
- NPI assigned
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
582 Highway 365 Ste 3
Mayflower, AR 72106-9525
Mailing address
582 Highway 365 Ste 3
Mayflower, AR 72106-9525
Phone (501) 470-5936
Other providers in Mayflower, AR
- Justin Harrell
- Shenique De'Shaye Harris
- William Raymond Hatridge
- Margaret M Healy
- Cindy Bell Hendricks
- Cleveland Ted Hood
- Hana Rene Hunter
- John B Witherspoon Optometric Physician LTD
- Alisha G Keown
- Trisha King
All providers in Mayflower, AR · Speech-Language Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.