Kristi A Henderson in Jackson - Nurse Practitioner
Kristi A Henderson - NPI 1083720726
Kristi A Henderson is a Nurse Practitioner in Jackson, Mississippi. Kristi A Henderson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kristi A Henderson is 1083720726. The last update date is 2012-06-14.
Kristi A Henderson's current location address is Po Box 16076, Jackson, Mississippi. You can contact this provider via phone number 6019366001 and fax number 6019364389. The mailing address for Kristi A Henderson is Po Box 16076, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi A Henderson |
|---|---|
| Address | Po Box 16076, Jackson, Mississippi |
| Phone Number | 6019366001 |
| Fax Number | 6019364389 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1083720726 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | Po Box 16076 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392366076 |
| Phone Number | 6019366001 |
| Fax Number | 6019364389 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R850357 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 512I500551 | MS | MEDICARE PTAN EFFECTIVE 7/2/08 | |
| 118929 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kristi A Henderson?
The Kristi A Henderson has been issued the NPI (National Provider Identifier) 1083720726 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kristi A Henderson is physically located?
The Kristi A Henderson is physically situated at the following address: Po Box 16076, Jackson, MS, 392366076.
What is Kristi A 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 Kristi A Henderson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did Kristi A Henderson receive its 1083720726 assignment from the Centers for Medicare & Medicaid Services?
The Kristi A Henderson was assigned its 1083720726 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kristi A Henderson most recently updated or refreshed?
The details pertaining to the Kristi A Henderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-14.
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