Individual
ASHLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
350 W CARPENTER ST, SPRINGFIELD, IL 62702-4902
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041510301
IL
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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