Henderson, Tina Lucille

Henderson, Tina Lucille is an individual health care provider with primary practice located at 1114 E Main St , Lebanon VA 24266-5014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric, which is considered as her primary health care specialty. Henderson, Tina Lucille can be contacted via phone (276) 883-5050.

Contact Information

Primary practice address
1114 E Main St Lebanon VA 24266-5014
Phone: (276) 883-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X 0024178041 Virginia

Profile Details

NPI number 1831745611
LBN Legal business name Henderson, Tina Lucille
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 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 1831745611 NPPES
Virginia Other 0024178041 BOARD OF NURSING
Virginia Other 0024178041 BOARD OF NURSING

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