Henderson, Tammie
Henderson, Tammie is an individual health care provider with primary practice located at 400 S Kennedy Dr Suite 900, Bradley IL 60915-2682. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Henderson, Tammie can be contacted via phone (815) 932-3132.Contact Information
Primary practice address
400 S Kennedy Dr Suite 900
Bradley IL 60915-2682
Phone: (815) 932-3132
Fax: (815) 932-2397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209011570 | Illinois |
Profile Details
| NPI number | 1598164303 |
|---|---|
| LBN Legal business name | Henderson, Tammie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2014 |
| Last updated | Aug 18th, 2014 - about 12 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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