Henson Medical Clinic, Inc.
NPI #1336373240 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1336373240
- Entity Type
- Organization
- Organization Name
- Henson Medical Clinic, Inc.
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 6, 2009
- Last Updated
- May 6, 2009
Practice Location
- Address
- 200 W RAILROAD ST
- Address 2
- 104
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-4517
- Phone
- (228) 864-0622
Authorized Official
- Name
- MRS. WANDA F. HENSON, FNP-BC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (228) 864-0622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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