Provider Demographics
NPI:1538525597
Name:HENTON-O'CONNOR, JACINTH S (ARNP)
Entity type:Individual
Prefix:
First Name:JACINTH
Middle Name:S
Last Name:HENTON-O'CONNOR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7593 W BOYNTON BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6154
Mailing Address - Country:US
Mailing Address - Phone:561-678-2652
Mailing Address - Fax:888-316-2198
Practice Address - Street 1:10115 FOREST HILL BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3104
Practice Address - Country:US
Practice Address - Phone:561-795-0016
Practice Address - Fax:561-472-2300
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-06
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9245769363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily