Individual
JOIA LYNN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
825 N MAIN ST STE 210, SPRINGBORO, OH 45066-2100
(937) 762-5500
(937) 762-5099
Mailing address
1160 STILLCREEK DRIVE, DAYTON, OH 45458-3222
(334) 549-9129
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1-109959
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
COA-18180-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001000712
ANTHEM
OH
05
—
0161708
—
OH
01
—
2270326
CIGNA
OH
01
—
9610324
AETNA
OH
Enumeration date
04/14/2009
Last updated
02/14/2023
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