JUSTIN HENNE (NPI# 1235688755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235688755 |
| Entity Type | Individual |
| Full Name | JUSTIN HENNE |
| Credential | FNP |
| Practice Address |
607 W Lassater Centerville TX 75833-1959 |
| Mailing Address |
1500 University Dr E Suite 100 College Station TX 77840-2600 |
| Practice Telephone | 9035363687 |
| Practice Fax Number | 9035367723 |
| Mailing Telephone | 9798461100 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132046 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
607 W LASSATER |
| City | CENTERVILLE |
| State | TX |
| Zip Code | 75833-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175313 | Texas Guardian Hcs, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2884 State Highway 75 S, Centerville, TX 75833 | 2018-08-23 |
| 1952897324 | Candace Arnell West | Registered Nurse | 6585 Fm 1511, Centerville, TX 75833 | 2018-07-09 |
| 1548621303 | Leon County | Voluntary or Charitable | 529 W Lassater, Centerville, TX 75833 | 2016-03-08 |
| 1255414744 | St. Joseph Regional Health Center | Clinic/Center | 102 West Main St., Centerville, TX 75833 | 2006-10-20 |
| 1861400798 | Homeland Lp | Durable Medical Equipment & Medical Supplies | 143 S Cass Street, Centerville, TX 75833 | 2006-08-04 |
| 1174591648 | Rtm Enterprises Inc | Ambulance | 309 West Main, Centerville, TX 75833 | 2006-03-10 |
| 1801910609 | Glen Ross Pettenger | Physician Assistant | 102 West Main Street, Centerville, TX 75833 | 2007-03-19 |
| 1568519122 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 607 Lassater, Centerville, TX 75833 | 2007-01-05 |
| 1730295775 | Dennis James Ellison | Dentist | 912 N. Commerce St., Centerville, TX 75833-0129 | 2006-08-22 |
| 1801251889 | Kelli Franklin | Counselor | 205 S Commerce St, Centerville, TX 75833-1965 | 2015-12-17 |
| Find all providers in zip 75833 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920617 | Heather Dalynn Ferguson | Nurse Practitioner | 1140 Charter Pl, Centerville, OH 45458-3943 | 2019-12-24 |
| 1831744341 | Lirong Zheng | Nurse Practitioner | 9432 Tahoe Dr, Centerville, OH 45458-3689 | 2019-08-02 |
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1427539014 | Spencer Nicholaus Lowe | Nurse Practitioner | 576 Churchill Dr, Centerville, UT 84014-2614 | 2018-08-22 |
| 1538683727 | Kathleen Whelan | Nurse Practitioner | 6071 Far Hills Ave, Centerville, OH 45459-1923 | 2017-07-28 |
| 1629517727 | Annette Kathryn Hawthorn | Nurse Practitioner | 2591 Miamisburg Centerville Rd Ste 201, Centerville, OH 45459-3706 | 2017-02-22 |
| 1578012993 | Kendra Custer | Nurse Practitioner | 968 Great View Cir Apt D, D, Centerville, OH 45459-6053 | 2016-09-27 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1053795757 | Emily Bush | Nurse Practitioner | 6520 Acro Ct, Centerville, OH 45459-2679 | 2015-07-13 |
| 1063829240 | Lauren K Miyamasu | Nurse Practitioner | 6611 Clyo Rd Ste A, Centerville, OH 45459-2785 | 2014-07-19 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 75833 |
Please comment or provide details below to improve the information on JUSTIN HENNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.