Individual
RACHEL CELESTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8325 S EMERSON AVE STE B1, INDIANAPOLIS, IN 46237-8559
(317) 742-6575
Mailing address
8325 S EMERSON AVE STE B1, INDIANAPOLIS, IN 46237-8559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71012685A
IN
363LF0000X
Family Nurse Practitioner
209016551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71012685A
STATE LICENSE
IN
Enumeration date
05/02/2018
Last updated
08/05/2025
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