Individual
MICHAEL LEWIS HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, ACNPC-AG
Contact information
Practice address
979 E 3RD ST STE C-820, CHATTANOOGA, TN 37403-2136
(423) 778-9001
(423) 778-4692
Mailing address
122 PEACE ST, CHATTANOOGA, TN 37415-6219
(757) 777-8316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
30077
TN
363LA2100X
Acute Care Nurse Practitioner
APRN11026468
FL
363LF0000X
Family Nurse Practitioner
APRN11026468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120028800
—
FL
05
—
30077
—
TN
Enumeration date
09/01/2021
Last updated
04/16/2026
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