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Individual
CHAQUITA HENDERSON
Active
Individual
CHAQUITA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
901493
MS
363LA2200X
Adult Health Nurse Practitioner
901493
MS
363LA2200X
Adult Health Nurse Practitioner
AP08972
LA
363LG0600X
Gerontology Nurse Practitioner
901493
MS
363LG0600X
Gerontology Nurse Practitioner
AP08972
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901493
MS
363LP2300X
Primary Care Nurse Practitioner
901493
MS
Other
Enumeration date
06/29/2016
Last updated
03/14/2025
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