Michelle L Henderson (NPI# 1417240060, PAC ID# 6103091756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417240060 |
| PAC ID by PECOS | 6103091756 |
| Professional Enrollment ID | I20111208000742 |
| Full Name | Michelle L Henderson |
| Organization Legal Name | WILLOW STREET HEALTH CENTER, LTD |
| Address |
406 N Willow St Harrison AR 72601-3517 |
| Phone Number | 8707413252 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325062326 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 406 N Willow St, Harrison, AR 72601-3517 | 8707413252 | WILLOW STREET HEALTH CENTER, LTD |
| Organization Legal Name | WILLOW STREET HEALTH CENTER, LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey L Dunaway | Family Medicine | Willow Street Health Center, Ltd | 406 N Willow St, Harrison, AR 72601-3517 |
| Street Address |
406 N WILLOW ST |
| City | HARRISON |
| State | AR |
| Zip | 72601-3517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey L Dunaway | Family Medicine | Willow Street Health Center, Ltd | 406 N Willow St, Harrison, AR 72601-3517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis S Butler | Nurse Practitioner | 3319 Day Lily Lane, Harrison, AR 72601 | |
| Michael V Marvel | Chiropractic | 1428 H-2 Hwy 62 65 N, Harrison, AR 72601 | |
| Kevin T Jackson | Family Medicine | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Shaun J Kahn | Chiropractic | 1428 H-2 Hwy 62-65 N, Harrison, AR 72601-1959 | |
| Amanda J Winford | Nurse Practitioner | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Mark W Powell | Orthopedic Surgery | Advanced Orthopaedic Specialists, Plc | 1420 Hwy 62 65 N, Suite A, Harrison, AR 72601-1959 |
| Joshua David Linton | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Christopher Allen Carroll | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Hannah Elizabeth Bohl | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Lindsey Breanne Wade | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Find all physicians in zip 72601 | |||
| City | HARRISON |
| Zip Code | 72601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARRISON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle L Henderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.