Henderson, Carissa
Henderson, Carissa is an individual health care provider with primary practice located at 832 W Poplar Ave , Collierville TN 38017-4047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henderson, Carissa can be contacted via phone (901) 853-6428.Contact Information
Primary practice address
832 W Poplar Ave
Collierville TN 38017-4047
Phone: (901) 853-6428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 22475 | Tennessee |
Profile Details
| NPI number | 1588196190 |
|---|---|
| LBN Legal business name | Henderson, Carissa |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2017 |
| Last updated | Apr 2nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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