Individual provider · Type 1 NPI

Shannon Henderson, NP

Nurse Practitioner · Medford, OR

NPI number 1740532480 Active

Practice location

520 Medical Center Dr Ste 201
Medford, OR 97504-4334

Call (541) 789-5711 Map

Fax (541) 789-5710

Mailing address

PO Box 748157
Los Angeles, CA 90074-8157

Other practice locations

  • 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 · (704) 373-0212
  • 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 · (704) 403-1349
  • 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 · (704) 667-3840
  • 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 · (704) 373-0212

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5009257 (NC)
Nurse Practitioner Primary 363L00000X202004735NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1740532480

Shannon Henderson, NP's National Provider Identifier is 1740532480, issued on Oct 4, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Jun 17, 2020.