IndividualActive
Mary Henderson
NPI 1699326843 · Attendant Care Provider · Jackson, MS
Provider details
- NPI number
- 1699326843
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
339 Mason Blvd
Jackson, MS 39212-5151
Phone: (601) 941-4311
Approximate (ZIP-level) locationGet directions
Mailing address
2811 Ridgeland Dr
Jackson, MS 39212-2516
Registry dates
- Enumerated
- 2019-09-27
- Last updated
- 2019-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.