Henry, Saundra K.

Henry, Saundra K. is an individual health care provider with primary practice located at 2173 Main St , Madison MS 39110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henry, Saundra K. can be contacted via phone (601) 605-3858.

Contact Information

Primary practice address
2173 Main St Madison MS 39110
Fax: (601) 605-3898
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R832612 Mississippi

Profile Details

NPI number 1912989336
LBN Legal business name Henry, Saundra K.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Aug 16th, 2018 - about 6 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 1912989336 NPPES
Mississippi MEDICAID 00120858

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