Whalio Doctors

NPI 1033146725

Eva Mae Henderson, MD

Practitioner Pediatrics Physician Jackson, MS

Practice location

Address
350 W Woodrow Wilson Ave, Jackson, MS 39213-7681
Phone
(601) 709-5150
Fax
(601) 709-5151
Mailing address
PO Box 3437, Jackson, MS 39207-3437

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 10119 (MS)

Registry record

NPI
1033146725
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jun 2006
Record last updated
6 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.