Henley, Michele A

Henley, Michele A is an individual health care provider with primary practice located at 109 Meadowview Rd Suite 3, Bristol TN 37620-1661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henley, Michele A can be contacted via phone (423) 968-2246.

Contact Information

Primary practice address
109 Meadowview Rd Suite 3 Bristol TN 37620-1661
Phone: (423) 968-2246
Fax: (423) 968-7223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12006 Tennessee

Profile Details

NPI number 1821047135
LBN Legal business name Henley, Michele A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Apr 8th, 2009 - about 17 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 1821047135 NPPES
Other 08/26/1968 D.O.B.
MEDICAID 1507557 D.O.B.

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