Individual
REBECCA CAMPBELL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1614 VIRGINIA PINE CIR SW, LILBURN, GA 30047-5670
(404) 797-2783
Mailing address
1614 VIRGINIA PINE CIR SW, LILBURN, GA 30047-5670
(404) 797-2783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN215973
GA
315D00000X
Inpatient Hospice
RN215973
GA
Other
Enumeration date
09/15/2019
Last updated
10/09/2025
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