Individual
MRS. CARRIE SKINNER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(866) 389-2727
Mailing address
34 CLUB FOREST LN, GREENVILLE, SC 29605-3152
(864) 498-8208
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19470
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3236
—
SC
Enumeration date
05/19/2015
Last updated
03/23/2017
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