Ms. Jacqueline Mary Henrich
Nurse Practitioner - Women's Health
200 W Arbor Dr
San Diego
, California 92103-9000
Ms. Jacqueline Mary Henrich
Nurse Practitioner - Women's Health
200 W Arbor Dr
San Diego
, California 92103-9000
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Jacqueline Mary Henrich
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone :
Second Address
- Ms. Jacqueline Mary Henrich
- 200 W Arbor Dr
- San Diego, CA
- Zip : 92103-9000
- Phone : (858) 657-8745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | NP 21109 | CA |
National Provider Identifier
| NPI | 1083990246 |
|---|---|
| Provider Name | Ms. Jacqueline Mary Henrich |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92103-9000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2011 |
| Last Update Date | 27/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.