Individual
SAUNDRA K. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2173 MAIN ST, MADISON, MS 39110
(601) 605-3858
(601) 605-3898
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R832612
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120858
—
MS
Enumeration date
11/20/2005
Last updated
08/16/2018
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