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

Jake Robert Henige

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255147849

Jake Robert Henige is a Student in an Organized Health Care Education/Training Program in Fresno, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903
Phone: (559) 554-9710
Fax: (559) 554-9710
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 1255147849 (CA)

Record details

NPI number1255147849
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address8033 N Glenn Ave Apt 105, Fresno, CA 93711-6804

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