Individual
LORI HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 CEDAR ST NW, HARTSELLE, AL 35640
(256) 773-2260
Mailing address
220 CEDAR ST NW, HARTSELLE, AL 35640-2404
(256) 773-2260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163909
—
AL
Enumeration date
01/27/2014
Last updated
05/26/2023
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