location
search-icon
person
Justin Henderson, NP
Family Nurse Practitioner in Ponderay, Idaho
NPI 1770112138

Justin Henderson is a Family Nurse Practitioner based in Coeur D Alene, ID and is specialized in Family. Justin Henderson practices in Ponderay, ID and has the professional credentials of NP. The NPI Number for Justin Henderson is 1770112138 and holds a License No. 9132375-4405 (Idaho).

The current practice location address for Justin Henderson is 30544 Id-200, Ponderay, ID and can be reached out via phone at 208-263-6300.

Location: 30544 Id-200, Ponderay, ID, 83814-2656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770112138
Provider Name
Justin Henderson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
30544 Id-200, Ponderay, ID, 83814-2656
Phone Number
208-263-6300
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
30544 Id-200
City
Ponderay
State
Idaho
Zip
83852
Phone Number
208-263-6300
Fax Number
person
Provider Business Mailing Address Details
Address
30544 Id-200
City
Ponderay
State
Idaho
Zip
83852
Phone Number
208-263-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9132375-4405 (Utah)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.