Henley, Michele A
Henley, Michele A is an individual health care provider with primary practice located at 109 Meadowview Rd Suite 3, Bristol TN 37620-1661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henley, Michele A can be contacted via phone (423) 968-2246.Contact Information
Primary practice address
109 Meadowview Rd Suite 3
Bristol TN 37620-1661
Phone: (423) 968-2246
Fax: (423) 968-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12006 | Tennessee |
Profile Details
| NPI number | 1821047135 |
|---|---|
| LBN Legal business name | Henley, Michele A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Apr 8th, 2009 - about 15 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 | 1821047135 | NPPES |
| Other | 08/26/1968 | D.O.B. | |
| MEDICAID | 1507557 | D.O.B. |
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