JACQUELINE ROSEMARIE HENDERSON RN
NPI 1093605255
Registered Nurse in Clarksville, TN

Active since July 08, 2025
812 GREENWOOD AVE, CLARKSVILLE, TN 37040(877) 467-3123 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Rosemarie Henderson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ROSEMARIE HENDERSON RN (NPI 1093605255) is an individual registered nurse in Clarksville, Tennessee, licensed in Tennessee (260791) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1093605255
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJACQUELINE ROSEMARIE HENDERSONCredential: RN
Location Address812 GREENWOOD AVEClarksville, TN 37040-4068
Mailing Address343 Dugger DrClarksville, TN 37042-2988 · (910) 624-5414
Sole ProprietorNo
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1093605255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in TN · 260791
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
812 GREENWOOD AVE, Clarksville, TN 37040

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse (General Practice)
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse (Psychiatric/Mental Health)
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse (Psychiatric/Mental Health)
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Social Worker
812 GREENWOOD AVE
CLARKSVILLE, TN 37040
Registered Nurse (Psychiatric/Mental Health)
812 GREENWOOD AVE
CLARKSVILLE, TN 37040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Henderson's NPI number?

The NPI number for Jacqueline Henderson is 1093605255. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Jacqueline Henderson located?

Jacqueline Henderson practices at 812 Greenwood Ave, Clarksville, TN 37040. The listed phone number is (877) 467-3123.

What is Jacqueline Henderson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Henderson was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.