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

Mr. Jack Rudy Henley, CST-LL

Individual provider Community Health Worker · NPI 1265909204

Mr. Jack Rudy Henley, CST-LL is a Community Health Worker in Turlock, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2101 Geer Rd Ste 120
Turlock, CA 95382-2456
Phone: (209) 664-8044
Fax: (209) 541-2114
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-FHKIAJ (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1265909204
Entity typeIndividual (Type 1)
GenderMale
Credentials CST-LL
Sole proprietorNo
NPI enumeratedOctober 29, 2018
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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