Individual
MRS. VENETTA DANIELLE HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
710 HIGHWAY 371, MOOREVILLE, MS 38857-7356
(662) 840-4577
(662) 840-4594
Mailing address
710 HIGHWAY 371, MOOREVILLE, MS 38857-7356
(662) 840-4577
(662) 840-4594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R884969
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09986891
—
MS
Enumeration date
02/06/2015
Last updated
01/17/2022
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