Individual provider · Type 1 NPI

Tamikio Kwan Henderson, LPN

Licensed Practical Nurse · Fort Gordon, GA

NPI number 1972761245 Active

Practice location

300 W Hospital Rd, Eisenhower Army Medical Center
Fort Gordon, GA 30905-5741

Call (706) 787-2720 Map

Mailing address

5979 Desert Storm Ave
Fort Campbell, KY 42223-5514

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN061421 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972761245

Tamikio Kwan Henderson, LPN's National Provider Identifier is 1972761245, issued on May 23, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Gordon, GA. The record was last updated on May 22, 2023.