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

Jessica Henderson

Individual provider Gerontology Nurse Practitioner · NPI 1144033655

Jessica Henderson is a Nurse Practitioner in Edgewood, Kentucky. Qualified in 2024, 2 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-9980
Fax: (859) 301-4963
Show map & directions

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

Additional practice locations (1)

  • 85 N Grand Ave, Fort Thomas, KY 41075-4027 — (859) 572-3100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4034651 (KY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4034651 (KY)

Record details

NPI number1144033655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2025
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount