Individual
ANNETTE LAQUETA HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
92 FIRST COLONY CIR, COLUMBUS, MS 39702-7900
(662) 251-3188
Mailing address
92 FIRST COLONY CIR, COLUMBUS, MS 39702-7900
(662) 251-3188
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
903378
MS
363LF0000X
Family Nurse Practitioner
Primary
906994
MS
Other
Enumeration date
03/22/2021
Last updated
10/14/2024
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