Individual
DR. STACY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
(504) 899-2800
(504) 899-2700
Mailing address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
(504) 899-2800
(504) 899-2700
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
312344
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0071172
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000222170
—
CO
Enumeration date
04/17/2012
Last updated
06/05/2026
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