Individual provider · Type 1 NPI
Carol Henry, FNP
Family Nurse Practitioner · Longview, TX
NPI number
1104455716
Active
Practice location
287 E Cliffwood St
Longview, TX 75603-7556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 660141 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104455716
Carol Henry, FNP's National Provider Identifier is 1104455716, issued on Apr 6, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Longview, TX. The record was last updated on Apr 6, 2020.