Mrs. Staci L Henshaw, PMHNP
Nurse Practitioner, Psych/Mental Health in Fairfield, New Jersey
1184441057- Practice location
- 165 Passaic Ave Ste 200, Fairfield, NJ 07004-3526
- Phone
- 800-413-8020
- Fax
- —
- Last updated
- June 17, 2026
Staci Lynn Henshaw is a Nurse Practitioner, Psych/Mental Health based in Fairfield, NJ. Staci Lynn Henshaw practices in Fairfield, NJ and has the professional credentials of PMHNP. The NPI Number for Staci Lynn Henshaw is 1184441057 and holds a License No. 26NJ15158200 (NJ). The current practice location address for Staci Lynn Henshaw is 165 Passaic Ave Ste 200, Fairfield, NJ 07004-3526 and can be reached out via phone at 800-413-8020.
Provider Profile Details
- NPI Number
- 1184441057
- Provider Name
- Staci Lynn Henshaw
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 165 Passaic Ave Ste 200, Fairfield, NJ 07004-3526
- Phone Number
- 800-413-8020
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 23, 2024
- Last Update Date
- June 17, 2026
- Certification Date
- June 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Passaic Ave Ste 200
Fairfield, NJ 07004-3526 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-3526
- Phone Number
- 800-413-8020
Provider Business Mailing Address Details
- Address
- 414 W Pleasant St
Hammonton, NJ 08037-1347 - City
- Hammonton
- State
- NJ
- Zip
- 08037-1347
- Phone Number
- 609-957-0368
License Information
- License Number
- 26NJ15158200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Staci L Henshaw, PMHNP?
The NPI number of Mrs. Staci L Henshaw, PMHNP is 1184441057. It was assigned on September 23, 2024 and is currently active in the NPPES registry.
What is the specialty of Mrs. Staci L Henshaw, PMHNP?
Mrs. Staci L Henshaw, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15158200.
Where does Mrs. Staci L Henshaw, PMHNP practice?
The practice location is 165 Passaic Ave Ste 200, Fairfield, NJ 07004-3526. The office can be reached at 800-413-8020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184441057 directly on the NPPES registry website.