NPI 1457380990

Teresa Lynn Henderson, PAC

Practitioner Medical Physician Assistant Anniston, AL

Practice location

Address: 400 E 10th St, Anniston, AL 36207-4716
Phone: (256) 235-5121
Mailing address: 14050 NW 14th St Suite 190, Sunrise, FL 33323-2865

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-20 (AL)

Other Physician Assistant providers in Alabama →

Registry record

NPI: 1457380990
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2006
Record last updated: 8 Jul 2007

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.