Henderson, Sherri Leann

Henderson, Sherri Leann is an individual health care provider with primary practice located at 709 S Harbor City Blvd Ste 100 , Melbourne FL 32901-1936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henderson, Sherri Leann can be contacted via phone (321) 725-2225.

Contact Information

Primary practice address
709 S Harbor City Blvd Ste 100 Melbourne FL 32901-1936
Phone: (321) 725-2225
Fax: (321) 308-0635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9105795 Florida

Profile Details

NPI number 1417924358
LBN Legal business name Henderson, Sherri Leann
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated May 7th, 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 1417924358 NPPES
Oklahoma MEDICAID 200066220A

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