Henderson, Leandra R
Henderson, Leandra R is an individual health care provider with primary practice located at 403 N State Of Franklin Rd , Johnson City TN 37604-6034. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Henderson, Leandra R can be contacted via phone (423) 431-7047.Contact Information
Primary practice address
403 N State Of Franklin Rd
Johnson City TN 37604-6034
Phone: (423) 431-7047
Fax: (423) 979-0569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0024172842 | Virgin Islands |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 12527 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12527 | Tennessee |
Profile Details
NPI number | 1740443084 |
---|---|
LBN Legal business name | Henderson, Leandra R |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2008 |
Last updated | Apr 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740443084 | NPPES |
Virginia | MEDICAID | 1740443084 | |
Virginia | MEDICAID | 1506060 | |
Virginia | MEDICAID | 3341833 | |
Virginia | Other | 600951198 |
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