Individual provider · Type 1 NPI

Caron Gibson Henderson, ANP

Adult Health Nurse Practitioner · Leakesville, MS

NPI number 1316253115 Active

Practice location

1616 Williams Dr
Leakesville, MS 39451-5622

Call (601) 394-2381 Map

Fax (601) 394-5715

Mailing address

PO Box 160
Leakesville, MS 39451-0160

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR873868 (MS)

Adult Health Nurse Practitioner: Definition to come...

6 other providers at this address

About NPI 1316253115

Caron Gibson Henderson, ANP's National Provider Identifier is 1316253115, issued on Aug 31, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Leakesville, MS. The record was last updated on Mar 29, 2014.