Individual
TROY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1604 STOUTS RD, FULTONDALE, AL 35068-1962
(205) 849-9811
(205) 250-9812
Mailing address
PO BOX 830230, BIRMINGHAM, AL 35283-0230
(205) 250-6845
(205) 250-6848
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-143199
AL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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