Jenna Jo Henderson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202009887 Issued in MI

Practice address

1330 Grand Pointe CT
Grand Blanc, MI 48439-5502

Phone

(810) 695-8920

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1265208219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 MURRAY ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399386",
            "telephone_number": "810-887-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 GRAND POINTE CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395502",
            "telephone_number": "810-695-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202009887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James Francis Heming, D.O.
• Gail Henig, MA CCC-SLP
• Alan F Henke, DO
• Andrew Christopher Henke, MD
• Henry Ford Health Genesys Hospital (Ascension Genesys Hospital Inpatient Rehabilitation)
• Henry Ford Health Genesys Hospital

• Occupational Therapy Assistant in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.