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Shirley C Henderson, LPN
Licensed Practical Nurse in Booneville, Mississippi
NPI 1962522854

Shirley C Henderson is a Licensed Practical Nurse based in Booneville, MS. Shirley C Henderson practices in Booneville, MS and has the professional credentials of LPN. The NPI Number for Shirley C Henderson is 1962522854 and holds a License No. P194832 (Mississippi).

The current practice location address for Shirley C Henderson is 249 County Road 1101, Booneville, MS and can be reached out via phone at 662-728-0377.

Location: 249 County Road 1101, Booneville, MS, 38829-9630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962522854
Provider Name
Shirley C Henderson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
249 County Road 1101, Booneville, MS, 38829-9630
Phone Number
662-728-0377
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0077348 05 MS
institution
Provider Business Practice Location Address Details
Address
249 County Road 1101
City
Booneville
State
Mississippi
Zip
38829-9630
Phone Number
662-728-0377
Fax Number
person
Provider Business Mailing Address Details
Address
249 County Road 1101
City
Booneville
State
Mississippi
Zip
38829-9630
Phone Number
662-728-0377
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P194832 (Mississippi)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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