Individual
ALLISON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1930 BISHOP LN FL 12, LOUISVILLE, KY 40218-1921
(502) 272-5220
(502) 272-5117
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009691
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3009691
STATE LICENSE
KY
05
—
7100383470
—
KY
Enumeration date
09/04/2015
Last updated
05/18/2022
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