Individual
SHARICE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
PO BOX 17733, SHREVEPORT, LA 71138-0733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219484
LA
Other
Enumeration date
10/07/2021
Last updated
02/26/2024
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