John N Henry Jr., PAC
Physician Assistant in Newport, VT. Individual provider (NPI-1).
NPI number1023076643
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1023076643
- Entity type
- Individual (NPI-1)
- Name
- John N Henry Jr.
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1089 | NH | Yes |
| 363A00000X | Physician Assistant | AP1946 | MA | |
| 363A00000X | Physician Assistant | 027167 | NY |
Practice location
189 Prouty DrNewport, VT 05855-9820
Phone 802-334-7331
Mailing address
1 Medical Center DrLebanon, NH 03756-1000
Phone 603-650-5704
Other practice locations
1 Medical Center Dr
Lebanon, NH 03756-1000
Lebanon, NH 03756-1000
Phone 603-650-5704
75 Beekman St
Plattsburgh, NY 12901-1438
Plattsburgh, NY 12901-1438
Phone 518-561-2000
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Other Physician Assistant providers in Newport, VT
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All 8 Physician Assistant providers in Newport · All 389 providers in Newport
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