Henson, Brandy N

Henson, Brandy N is an individual health care provider with primary practice located at 818 N 4Th St , Longview TX 75601. She recently has 6 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Henson, Brandy N can be contacted via phone (903) 236-8600.

Contact Information

Primary practice address
818 N 4Th St Longview TX 75601
Phone: (903) 236-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP60724707 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AP60724707 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60724707 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X AP129290 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60724707 Washington
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP60724707 Washington
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP60724707 Washington

Profile Details

NPI number 1316318157
LBN Legal business name Henson, Brandy N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Oct 20th, 2021 - about 3 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 1316318157 NPPES
Washington MEDICAID 2074713
Washington MEDICAID 214655758

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