Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Jean Henry

Individual provider Physician Assistant · NPI 1124988191

Alyssa Jean Henry is a Physician Assistant in Fargo, North Dakota. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in North Dakota.

Years since qualifying
1
Licensed in
ND
In the registry since
2025

Practice location Address checks out

2301 25th St S
Fargo, ND 58103-6104
Phone: (701) 417-6130
Fax: (701) 280-4492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 E Broadway, Columbia, MO 65201-4979 — (573) 442-2211

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C1213 (ND)

Record details

NPI number1124988191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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