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Individual

MELISSA ROBIN HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2003 GODWIN AVE STE C, LUMBERTON, NC 28358-3150
(910) 674-4814
(910) 674-4842
Mailing address
1420 TOWNSEND RD, SAINT PAULS, NC 28384-6981
(910) 225-2291

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232021
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5015346
NC

Other

Enumeration date
09/05/2021
Last updated
11/10/2021
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