Individual provider · Type 1 NPI

Tatonisha Lasha Green-Henderson, FNP-BC

Family Nurse Practitioner · Dallas, TX

NPI number 1396404117 Active

Practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Fax (214) 645-6257

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X657879 (TX)
Pediatric Nurse Practitioner 363LP0200X1067977 (TX)
Family Nurse Practitioner Primary 363LF0000X1067977 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1396404117

Tatonisha Lasha Green-Henderson, FNP-BC's National Provider Identifier is 1396404117, issued on Dec 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Aug 8, 2023.