person
Lisa L Henderson
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Springfield, Illinois
NPI 1801256813

Lisa L Henderson is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Springfield, IL and is specialized in Psychiatric/Mental Health, Child & Adolescent. Lisa L Henderson practices in Springfield, IL. The NPI Number for Lisa L Henderson is 1801256813 and holds a License No. 209014399 (Illinois).

The current practice location address for Lisa L Henderson is 2239 E Cook St, Springfield, IL and can be reached out via phone at 217-788-2300 and via fax at 217-788-2342. You can also correspond with Lisa L Henderson through the mailing address at 2239 E COOK ST, SPRINGFIELD, IL - 62703-1944 (mailing address contact number: 217-788-2300).

Location: 2239 E Cook St, Springfield, IL, 62703-1944
person
Provider Profile Details
NPI Number
1801256813
Provider Name
Lisa L Henderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2239 E Cook St, Springfield, IL, 62703-1944
Phone Number
217-788-2300
Fax Number
217-788-2342
Provider Enumeration Date
03/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2239 E Cook St
City
State
Zip
62703-1944
Phone Number
217-788-2300
Fax Number
217-788-2342
person
Provider Business Mailing Address Details
Address
2239 E Cook St
City
State
Zip
62703-1944
Phone Number
217-788-2300
Fax Number
217-788-2342
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
041206559 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209014399 (Illinois)
Definition
Definition to come...
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