Individual
TARA ANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
12038 N MAY AVE, OKLAHOMA CITY, OK 73120-6807
(405) 724-5437
(405) 724-6917
Mailing address
12038 N MAY AVE, OKLAHOMA CITY, OK 73120-6807
(405) 724-5437
(405) 724-6917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123087
OK
Other
Enumeration date
09/10/2017
Last updated
05/18/2026
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