Jenny Pamela Henry, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

299883 Issued in NC

Practice address

3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288

Phone

(252) 452-4919

Fax

(479) 582-0778

NPI assigned

May 6, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trestletree, LLC

  • Psychologist
  • Fayetteville, AR
  • NPI 1598291478

  Registered Nurse

  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1639734676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BUSINESS DR STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035204",
            "telephone_number": "252-452-4919",
            "fax_number": "479-582-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035288",
            "telephone_number": "252-452-4919",
            "fax_number": "479-582-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 N Business Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035288",
            "country_code": "US",
            "telephone_number": "252-452-4919",
            "fax_number": "479-582-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JENNY",
        "middle_name": "PAMELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "299883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl W Hennigan, MD
• Stephen Hall Hennigan, MD
• Henry Eye Clinic
• Adrienne Henry
• Hunter Kyle Henry, M.D.
• Lana B Henry, PHD, LPC
• Lance B. Henry, M.D.
• Mary Jo Henry, MD
• Paul Morriss Henry, M.D.
• Tamara Henschell

• Registered Nurse in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.