Individual
KRISSI LYNN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
8316 E 61ST ST STE 101A, TULSA, OK 74133-1908
(918) 893-3535
Mailing address
8316 E 61ST ST STE 101A, TULSA, OK 74133-1908
(918) 893-3535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0073169
OK
Other
Enumeration date
09/30/2020
Last updated
03/17/2021
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