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

Susan L Henson

Individual provider Family Nurse Practitioner · NPI 1417507435

Susan L Henson is a Nurse Practitioner in Jackson, Tennessee. Qualified in 2019, 7 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 422-0213
Fax: (731) 422-0409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25875 (TN)

Record details

NPI number1417507435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Jackson