Individual provider · Type 1 NPI

Robert Wiley Henshaw, PA-C

Physician Assistant · Tupelo, MS

NPI number 1669304770 Active

Practice location

1211 S Gloster St Ste A
Tupelo, MS 38801-6548

Call (662) 767-4200 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1669304770

Robert Wiley Henshaw, PA-C's National Provider Identifier is 1669304770, issued on Jun 2, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tupelo, MS. The record was last updated on Jun 2, 2026.