IndividualActive
Shasa Henry, RPSGT
NPI 1235998345 · Specialist · Jackson, MS
Shasa Henry, RPSGT is a Specialist provider in Jackson, MS (NPI 1235998345).
Provider details
- NPI number
- 1235998345
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- RPSGT
- Sex
- Female
- Sole proprietor
- No
- License
- 25239 (MS)
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.