Individual
CONSTANCE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
2006 S 1ST ST, TEMPLE, TX 76504-7450
(254) 228-5284
Mailing address
2006 S 1ST ST, TEMPLE, TX 76504-7450
(254) 228-5284
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
AG1220088
TX
363L00000X
Nurse Practitioner
Primary
AG1220088
TX
363LA2200X
Adult Health Nurse Practitioner
AG1220088
TX
363LG0600X
Gerontology Nurse Practitioner
AG1220088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AG12210088
—
TX
Enumeration date
12/22/2021
Last updated
05/20/2025
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