Individual
AFENI D. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
501 19TH ST STE 401, KNOXVILLE, TN 37916-1831
(865) 331-2020
(865) 331-1976
Mailing address
2826 MABLE COUCH WAY, KNOXVILLE, TN 37931-4283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
187468
TN
363LF0000X
Family Nurse Practitioner
Primary
20119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q019600
—
TN
Enumeration date
11/05/2015
Last updated
07/07/2022
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