IndividualActive
Jacqueline Henderson, MD
NPI 1366482358 · Emergency Medical Services (Emergency Medicine) Physician · Michigan City, IN
Provider details
- NPI number
- 1366482358
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 01059200A (IN)
Mailing address
2000 Green Rd
Ann Arbor, MI 48105-1598
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2008-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.