Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelynn Dian Henderson, PA-C

Individual provider Physician Assistant · NPI 1003875253

Jacquelynn Dian Henderson, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 1996, 30 years ago. Practices with Barnet Dulaney Perkins Eye Center, PC, a 103-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
30
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4800 N 22nd St
Phoenix, AZ 85016-4701
Phone: (602) 955-1000
Fax: (602) 508-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5994 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA13970 (CA)

Record details

NPI number1003875253
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Barnet Dulaney Perkins Eye Center, Pc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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