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

Shasa Rene Henry, RPSGT

Individual provider Specialist · NPI 1235998345

Shasa Rene Henry, RPSGT is a Specialist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25239 (MS)

Record details

NPI number1235998345
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPSGT
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 18, 2024

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