Individual
MRS. MICHELLE DAWN HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
7926 PRESTON HWY, STE. 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007300
KY
363LF0000X
Family Nurse Practitioner
71004139A
IN
Other
Enumeration date
09/13/2012
Last updated
11/01/2019
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