Henry, Saundra K.
Henry, Saundra K. is an individual health care provider with primary practice located at 2173 Main St , Madison MS 39110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henry, Saundra K. can be contacted via phone (601) 605-3858.Contact Information
Primary practice address
2173 Main St
Madison MS 39110
Phone: (601) 605-3858
Fax: (601) 605-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R832612 | Mississippi |
Profile Details
| NPI number | 1912989336 |
|---|---|
| LBN Legal business name | Henry, Saundra K. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2005 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912989336 | NPPES |
| Mississippi | MEDICAID | 00120858 |
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