Shirley C Henderson in Booneville - Licensed Practical Nurse
Shirley C Henderson - NPI 1962522854
Shirley C Henderson is a Licensed Practical Nurse in Booneville, Mississippi. Shirley C Henderson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shirley C Henderson is 1962522854. The last update date is 2007-07-09.
Shirley C Henderson's current location address is 249 County Road 1101, Booneville, Mississippi. You can contact this provider via phone number 6627280377. The mailing address for Shirley C Henderson is 249 County Road 1101, Booneville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley C Henderson |
|---|---|
| Address | 249 County Road 1101, Booneville, Mississippi |
| Phone Number | 6627280377 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1962522854 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 249 County Road 1101 |
|---|---|
| City | Booneville |
| State | Mississippi (MS) |
| Post Code | 388299630 |
| Phone Number | 6627280377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | P194832 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77348 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shirley C Henderson by the Centers for Medicare & Medicaid Services (CMS)?
The Shirley C Henderson has been assigned the NPI (National Provider Identifier) 1962522854. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Shirley C Henderson is located?
The Shirley C Henderson is situated at the following address: 249 County Road 1101, Booneville, MS, 388299630.
What is Shirley C Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shirley C Henderson is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
On what date did the Shirley C Henderson receive the assignment of its 1962522854 from the Centers for Medicare & Medicaid Services?
The Shirley C Henderson was issued its 1962522854 by the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the information regarding Shirley C Henderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shirley C Henderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
NPI Number: 1548255375
Address: 167 N Spencer Rd, Spencer, MA