Individual
DAIJAH HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 HARPER CT, TUSCALOOSA, AL 35401-7454
(205) 469-0805
Mailing address
115 HARPER CT, TUSCALOOSA, AL 35401-7454
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-202190
AL
Other
Enumeration date
03/27/2023
Last updated
12/23/2024
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