Henderson, Michelle Lee

Henderson, Michelle Lee is an individual health care provider with primary practice located at 406 N Willow St , Harrison AR 72601-3517. 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, Michelle Lee can be contacted via phone (870) 741-3252.

Contact Information

Primary practice address
406 N Willow St Harrison AR 72601-3517
Phone: (870) 741-3252
Fax: (870) 741-3962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03547 APN Arkansas

Profile Details

NPI number 1417240060
LBN Legal business name Henderson, Michelle Lee
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated Mar 7th, 2018 - about 8 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 1417240060 NPPES
Arkansas Other 4A202F478 MEDICARE PTAN

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