Individual
MRS. MAGAN GOFF HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
1421 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2652
(615) 449-6780
(615) 449-1929
Mailing address
1421 W BADDOUR PKWY, SUITE B, LEBANON, TN 37087-2652
(615) 449-6780
(615) 449-1929
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN0000014885
TN
Other
Enumeration date
06/12/2012
Last updated
07/24/2012
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