Henderson, Dewanna

Henderson, Dewanna is an sole proprietor health care provider with primary practice located at 305 S Benedict Ave , Oak Ridge TN 37830-7310. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Henderson, Dewanna can be contacted via phone (865) 685-0022.

Contact Information

Primary practice address
305 S Benedict Ave Oak Ridge TN 37830-7310
Phone: (865) 685-0022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2315 Tennessee
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7034 Georgia

Profile Details

NPI number 1699014746
LBN Legal business name Henderson, Dewanna
Credentials PA-C, BA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2013
Last updated Jan 17th, 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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