Henderson, Chaquita

Henderson, Chaquita is an sole proprietor health care provider with primary practice located at 107 Pine Dr , Hattiesburg MS 39401-8409. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Henderson, Chaquita can be contacted via phone (601) 434-0960.

Contact Information

Primary practice address
107 Pine Dr Hattiesburg MS 39401-8409
Phone: (601) 434-0960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 901493 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 901493 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 901493 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP08972 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP08972 Louisiana

Profile Details

NPI number 1942651005
LBN Legal business name Henderson, Chaquita
Credentials AGPCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2016
Last updated Aug 12th, 2016 - about 10 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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