Jean Henry PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JEAN HENRY PLLC

Practice address

3461 Old Creek Rd
Chesterfield, VA 23832-8324

Phone

(804) 221-4579

NPI assigned

Sep 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelette Jackson, AGPCNP-CNPI 1760862684

Title

Nurse Practitioner

Phone

(804) 221-4579

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelette Jackson, NP

  • Gerontology Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1760862684
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1114898160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 OLD CREEK RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328324",
            "telephone_number": "804-221-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 OLD CREEK RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238328324",
            "telephone_number": "804-221-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN HENRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-221-4579",
        "authorized_official_credential": "AGPCNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.