person
Leandra R Henderson, APN
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1740443084

Leandra R Henderson is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Leandra R Henderson practices in Johnson City, TN and has the professional credentials of APN. The NPI Number for Leandra R Henderson is 1740443084 and holds a License No. 0024172842 (Tennessee).

The current practice location address for Leandra R Henderson is 403 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-7047 and via fax at 423-979-0569.

Location: 403 N State Of Franklin Rd, Johnson City, TN, 37604-6034
person
Provider Profile Details
NPI Number
1740443084
Provider Name
Leandra R Henderson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
403 N State Of Franklin Rd, Johnson City, TN, 37604-6034
Phone Number
423-431-7047
Fax Number
423-979-0569
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740443084 05 VA
1506060 05 TN
3341833 05 TN
600951198 01 TN MAGELLAN
institution
Provider Business Practice Location Address Details
Address
403 N State Of Franklin Rd
City
State
Zip
37604-6034
Phone Number
423-431-7047
Fax Number
423-979-0569
person
Provider Business Mailing Address Details
Address
403 N State Of Franklin Rd
City
State
Zip
37604-6034
Phone Number
423-431-7047
Fax Number
423-979-0569
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12527 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024172842 ()
Definition
Definition to come...
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