Individual
DR. ROBERT MARTIN HENISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, RN, PMHNP-BC
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(734) 258-4551
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(734) 258-4551
(937) 736-2615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704315412
MI
163W00000X
Registered Nurse
RN.503889
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0036290
OH
Other
Enumeration date
01/06/2023
Last updated
02/12/2025
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