person
Mrs. Tammie Henderson, NP
Pediatric Nurse Practitioner in Bradley, Illinois
NPI 1598164303

Tammie Henderson is a Pediatric Nurse Practitioner based in Bradley, IL and is specialized in Pediatrics. Tammie Henderson practices in Bradley, IL and has the professional credentials of NP. The NPI Number for Tammie Henderson is 1598164303 and holds a License No. 209011570 (Illinois).

The current practice location address for Tammie Henderson is 400 S Kennedy Dr, Bradley, IL and can be reached out via phone at 815-932-3132 and via fax at 815-932-2397.

Location: 400 S Kennedy Dr, Bradley, IL, 60915-2682
person
Provider Profile Details
NPI Number
1598164303
Provider Name
Tammie Henderson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
400 S Kennedy Dr, Bradley, IL, 60915-2682
Phone Number
815-932-3132
Fax Number
815-932-2397
Provider Enumeration Date
08/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 S Kennedy Dr
City
State
Zip
60915-2682
Phone Number
815-932-3132
Fax Number
815-932-2397
person
Provider Business Mailing Address Details
Address
400 S Kennedy Dr
City
State
Zip
60915-2682
Phone Number
815-932-3132
Fax Number
815-932-2397
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209011570 (Illinois)
Definition
Definition to come...
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