Henderson, Julie B

Henderson, Julie B is an individual health care provider with primary practice located at 1818 Amherst St , Winchester VA 22601-2808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henderson, Julie B can be contacted via phone (540) 450-0072.

Contact Information

Primary practice address
1818 Amherst St Winchester VA 22601-2808
Fax: (540) 450-0074
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024164318 Virginia

Profile Details

NPI number 1194705889
LBN Legal business name Henderson, Julie B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194705889 NPPES
West Virginia MEDICAID 7102082000
West Virginia Other P00657217
West Virginia MEDICAID 1194705889

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