Individual
LACEY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
16192 COASTAL HWY, LEWES, DE 19958-3608
(302) 615-0599
(864) 448-1738
Mailing address
16192 COASTAL HWY, LEWES, DE 19958-3608
(302) 615-0599
(864) 448-1738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0049609
DE
363L00000X
Nurse Practitioner
L8-0010687
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010687
DE
Other
Enumeration date
08/06/2024
Last updated
09/29/2025
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