Individual
WILLETTA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10330 ROAD 375, PHILADELPHIA, MS 39350
(601) 656-0226
(601) 656-0226
Mailing address
10330 ROAD 375, PHILADELPHIA, MS 39350
(601) 656-0226
(601) 656-0226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R571121
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110039
—
MS
01
—
500003615
RAILROAD MEDICARE
—
Enumeration date
12/30/2005
Last updated
01/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us