Individual
SHANNON KENDRA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
733 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1609
(757) 547-5851
Mailing address
119 BRIDGER DR, SMITHFIELD, VA 23430-6381
(757) 677-6467
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024179769
VA
Other
Enumeration date
08/10/2020
Last updated
06/25/2024
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