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JESSICA HENNINGSEN, PA
PA
Physician Assistant
NPI: 1699225482IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
SP561493(OH)363A00000X(KY)
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
50.004805RX(OH)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 9301 DAYFLOWER ST STE 100
PROSPECT, KY 40059 - Phone
- (502) 326-8588
Quick Facts
- NPI
- 1699225482
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 12
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