Individual
MR. JUSTIN HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADVANCED PRACTICE RN
Contact information
Practice address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Mailing address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 557-1200
(405) 557-1977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103951
OK
363LF0000X
Family Nurse Practitioner
Primary
103951
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
NURSE PRACTITIONER - FAMILY
OK
Enumeration date
08/10/2015
Last updated
10/22/2024
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