1. Home
  2. Directory
  3. Indiana
  4. Michigan City
  5. Emergency Medicine
  6. NPI Profile

JACQUELINE HENDERSON MD
NPI 1366482358
Emergency Medicine - Emergency Medical Services in Michigan City, IN

Active since June 07, 2006
301 W HOMER ST, MICHIGAN CITY, IN 46360(219) 879-8511 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Henderson Md NPPES

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

JACQUELINE HENDERSON MD (NPI 1366482358) is an individual emergency medical services provider in Michigan City, Indiana, licensed in Indiana (01059200A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366482358
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameJACQUELINE HENDERSONCredential: MD
Location Address301 W HOMER STMichigan City, IN 46360-4358
Mailing Address2000 Green Rd, Suite 300Ann Arbor, MI 48105-1598 · (734) 995-3764
Phone(219) 879-8511
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 4, 2008
✔ NPI 1366482358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in IN · 01059200A
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
301 W HOMER ST, Michigan City, IN 46360
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF97067
Medicare PINM60660310MI

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.

MARIETTA MEULI ATC
Specialist/Technologist (Athletic Trainer)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 879-8511
WILLIE F STEWART MD
Emergency Medicine (Emergency Medical Services)
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 879-8511
ALBERT J DERUBERTIS D.O.
Physical Medicine & Rehabilitation
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 879-8511
MICHELLE STEVENSON
Dietitian, Registered
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 877-1545
FRANCISCAN HEALTH MICHIGAN CITY
Rehabilitation Unit
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 877-1033
DORAN LOUNSBURY PT
Physical Therapist
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 879-8511
MRS. CHRISTY BERRIER R.D., C.D.
Dietitian, Registered
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 877-1545
TERRY HARRIS PTA
Physical Therapy Assistant
301 W HOMER ST
MICHIGAN CITY, IN 46360
Laporte County (219) 462-4481

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 1366482358. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jacqueline Henderson located?

Jacqueline Henderson practices at 301 W Homer St, Michigan City, IN 46360. The listed phone number is (219) 879-8511.

What is Jacqueline Henderson's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Jacqueline Henderson was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.