Wade Henson, NP Valid NPI
Individual provider · Family Nurse Practitioner · Kilmichael, MS
- NPI
- 1942724349
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 902086 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-07-28
- Last updated
- 2017-07-28
Practice location
301 Lamar St
Kilmichael, MS 39747-9002
(662) 262-5577