Individual
LEANDRA R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Mailing address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12527
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024172842
VI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12527
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506060
—
TN
05
—
1740443084
—
VA
05
—
3341833
—
TN
01
—
600951198
MAGELLAN
TN
Enumeration date
07/08/2008
Last updated
04/03/2019
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