Individual provider · Type 1 NPI

Matthew Henderson, FNP-C

Nurse Practitioner · Carrollton, GA

NPI number 1013568740 Active

Practice location

150 Clinic Ave Ste 101
Carrollton, GA 30117-4402

Mailing address

227 Kramer St
Carrollton, GA 30117-3705

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN239465 (GA)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013568740

Matthew Henderson, FNP-C's National Provider Identifier is 1013568740, issued on Sep 24, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carrollton, GA. The record was last updated on Sep 24, 2019.