Individual
BETH HARRIS HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4784 W US HIGHWAY 90, LAKE CITY, FL 32055-3101
(386) 269-9260
(386) 406-6714
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11008627
FL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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