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Tina Lucille Henderson, PMHNP-BC
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Lebanon, Virginia
NPI 1831745611

Tina Lucille Henderson is a Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist based in Marion, VA and is specialized in Psychiatric/Mental Health, Geropsychiatric. Tina Lucille Henderson practices in Lebanon, VA and has the professional credentials of PMHNP-BC. The NPI Number for Tina Lucille Henderson is 1831745611 and holds a License No. 0024178041 (Virginia).

The current practice location address for Tina Lucille Henderson is 1114 E Main St, Lebanon, VA and can be reached out via phone at 276-883-5050.

Location: 1114 E Main St, Lebanon, VA, 24354-7015
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Provider Profile Details
NPI Number
1831745611
Provider Name
Tina Lucille Henderson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1114 E Main St, Lebanon, VA, 24354-7015
Phone Number
276-883-5050
Fax Number
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024178041 01 VA BOARD OF NURSING
0024178041 01 VA LICENSE
institution
Provider Business Practice Location Address Details
Address
1114 E Main St
City
State
Zip
24266-5014
Phone Number
276-883-5050
Fax Number
person
Provider Business Mailing Address Details
Address
1114 E Main St
City
State
Zip
24266-5014
Phone Number
276-883-5050
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Geropsychiatric
Taxonomy
License No.
0024178041 (Virginia)
Definition
Definition to come...
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