Individual
KERRI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 223-8400
(217) 228-3251
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 223-9945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017039271
MO
363LF0000X
Family Nurse Practitioner
Primary
209014003
IL
Other
Enumeration date
03/10/2016
Last updated
02/13/2026
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