Henderson, Leandra R

Henderson, Leandra R is an individual health care provider with primary practice located at 403 N State Of Franklin Rd , Johnson City TN 37604-6034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Henderson, Leandra R can be contacted via phone (423) 431-7047.

Contact Information

Primary practice address
403 N State Of Franklin Rd Johnson City TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024172842 Virgin Islands
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12527 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12527 Tennessee

Profile Details

NPI number 1740443084
LBN Legal business name Henderson, Leandra R
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Apr 3rd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740443084 NPPES
Virginia MEDICAID 1740443084
Virginia MEDICAID 1506060
Virginia MEDICAID 3341833
Virginia Other 600951198

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