MRS. JENNIFER SUE HENN ATC, MBA - NPI 1477916229 - Specialist/Technologist, Other in Fort Wayne, IN

Q: What is the provider's specialty?

The provider's specialty is Specialist/Technologist, Other with taxonomy code 246Z00000X.

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About Mrs. Jennifer Sue Henn Atc, Mba NPPES

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

MRS. JENNIFER SUE HENN ATC, MBA (NPI 1477916229) is an individual specialist/technologist, other provider in Fort Wayne, Indiana, licensed in Indiana (36002067A) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1477916229

Entity TypeIndividualFemale

Primary Taxonomy246Z00000X

Provider Legal NameMRS. JENNIFER SUE HENNCredential: ATC, MBA

Location Address5050 N CLINTON STFort Wayne, IN 46825-5886

Mailing Address6311 Shadow Ridge RunFort Wayne, IN 46804-4290 · (260) 580-8974

Phone(260) 484-8551

Sole ProprietorNo

Enumeration DateMarch 30, 2016

✔ NPI 1477916229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246Z00000X

License✔ Licensed in IN · 36002067A

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

5050 N CLINTON ST, Fort Wayne, IN 46825

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