Individual
ERICA FAYE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1104B S MAIN ST, LEXINGTON, NC 27292-3134
(336) 300-8826
(336) 843-4580
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
85374
NC
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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