NPI 1225458052
Jimmy Henderson
Practice location
- Address
- 14631 Zachary Dr E, Jacksonville, FL 32218-0819
- Phone
- (904) 536-0241
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1225458052
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Apr 2014
- Record last updated
- 19 Apr 2014
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.