Eva Mae Henderson is a Pediatrics in Jackson, Mississippi. Eva Mae Henderson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Eva Mae Henderson is 1033146725. The last update date is 2011-06-06.
Eva Mae Henderson's current location address is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6017095150 and fax number 6017095151. The mailing address for Eva Mae Henderson is 350 W Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eva Mae Henderson |
|---|---|
| Address | 350 W Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6017095150 |
| Fax Number | 6017095151 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033146725 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2011-06-06 |
Provider Mailing Address Detail
| Address | 350 W Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392137681 |
| Phone Number | 6017095150 |
| Fax Number | 6017095151 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 10119 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1692743 | LA | -- | |
| 116298 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eva Mae Henderson by the Centers for Medicare & Medicaid Services?
The Eva Mae Henderson has been issued the NPI (National Provider Identifier) 1033146725, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Eva Mae Henderson is physically located?
The Eva Mae Henderson is situated at the following address: 350 W Woodrow Wilson Ave, Jackson, MS 392137681.
What is Eva Mae Henderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eva Mae Henderson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did Eva Mae Henderson receive its 1033146725 assignment?
The Eva Mae Henderson was assigned its 1033146725 on 2006-06-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Eva Mae Henderson most recently updated?
The details pertaining to the Eva Mae Henderson, including its address, specialty, and other relevant information, were last refreshed on 2011-06-06.