Individual
TESSA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3395
(479) 968-2345
Mailing address
240 SUMMERGLOW RD, RUSSELLVILLE, AR 72802-1758
(501) 722-8142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-19478
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
07/10/2025
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