Henderson, Sherri Leann
Henderson, Sherri Leann is an individual health care provider with primary practice located at 709 S Harbor City Blvd Ste 100 , Melbourne FL 32901-1936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henderson, Sherri Leann can be contacted via phone (321) 725-2225.Contact Information
Primary practice address
709 S Harbor City Blvd Ste 100
Melbourne FL 32901-1936
Phone: (321) 725-2225
Fax: (321) 308-0635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105795 | Florida |
Profile Details
| NPI number | 1417924358 |
|---|---|
| LBN Legal business name | Henderson, Sherri Leann |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | May 7th, 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 | 1417924358 | NPPES |
| Oklahoma | MEDICAID | 200066220A |
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