Individual
ASHLEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
936 E POWERS CT, NIXA, MO 65714-9381
(417) 633-6769
Mailing address
936 E POWERS CT, NIXA, MO 65714-9381
(417) 633-6769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020026931
MO
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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