Individual provider · Type 1 NPI
Wendy Stout Henderson, NP-C
Family Nurse Practitioner · Crossville, TN
NPI number
1407232689
Active
Practice location
49 Cleveland St Ste 200
Crossville, TN 38555-2854
Mailing address
229 Interstate Dr, Ste 103
Crossville, TN 38555-2704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20120 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407232689
Wendy Stout Henderson, NP-C's National Provider Identifier is 1407232689, issued on Aug 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crossville, TN. The record was last updated on Jan 20, 2016.