Henderson, Marissa Lynne

Henderson, Marissa Lynne is an individual health care provider with primary practice located at 609 Medical Center Dr Ste 2700 , Decatur TX 76234-3839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henderson, Marissa Lynne can be contacted via phone (940) 627-8020.

Contact Information

Primary practice address
609 Medical Center Dr Ste 2700 Decatur TX 76234-3839
Phone: (940) 627-8020
Fax: (940) 627-6730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP143723 Texas

Profile Details

NPI number 1518502475
LBN Legal business name Henderson, Marissa Lynne
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2019
Last updated Nov 14th, 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 1518502475 NPPES
Texas MEDICAID PENDING
Texas Other PENDING

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