Individual
MRS. STACI LYNN HENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2106 NEW RD STE D8, LINWOOD, NJ 08221-1050
(609) 927-1030
Mailing address
414 W PLEASANT ST, HAMMONTON, NJ 08037-1347
(609) 957-0368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15158200
NJ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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