Individual
ANGELA M. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1008 MOUNT ZION RD, UNION CITY, TN 38261-7694
(731) 885-5294
Mailing address
1008 MOUNT ZION RD, P.O. BOX 248, UNION CITY, TN 38261-7694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141790
TN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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