Individual provider · Type 1 NPI
Lisa L. Henderson
Family Nurse Practitioner · Springfield, IL
NPI number
1801256813
Active
Practice location
2239 E Cook St
Springfield, IL 62703-1944
Fax (217) 788-2342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209014399 (IL) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 041206559 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801256813
Lisa L. Henderson's National Provider Identifier is 1801256813, issued on Mar 3, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Sep 8, 2016.