NPI 1316253115

Caron Gibson Henderson, ANP

Practitioner Adult Health Nurse Practitioner Leakesville, MS

Practice location

Address: 1616 Williams Dr, Leakesville, MS 39451-5622
Phone: (601) 394-2381
Fax: (601) 394-5715
Mailing address: PO Box 160, Leakesville, MS 39451-0160

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence R873868 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1316253115
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2010
Record last updated: 29 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.