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Jacquelynn Dian Henderson, PA-C

Physician Assistant in Phoenix, AZ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003875253

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Registry record

Entity type Individual (Type 1)
Name Jacquelynn Dian Henderson
Credential PA-C
Sex Female
Practice address 4800 N 22nd St, Phoenix, AZ, 85016
Fax (602) 508-4830
Enumeration date Mar 17, 2006
Last updated in NPPES Jan 11, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA13970 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5994 (AZ) Primary

Other identifiers

Identifier Type State Issuer
Z181353 Other AZ MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1003875253 active?
Yes, as of the latest NPPES snapshot, NPI 1003875253 is active (record last updated 2016-01-11).
How do I verify Jacquelynn Henderson's NPI record?
Cross-check NPI 1003875253 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-11.