DR. JOURNEY LUCIAN HENDERSON (NPI# 1558763300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558763300 |
| Entity Type | Individual |
| Full Name | DR. JOURNEY LUCIAN HENDERSON |
| Credential | FNP-BC |
| Practice Address |
9330 Medical Plaza Dr Charleston SC 29406-9104 |
| Practice Telephone | 8437977000 |
| Mailing Telephone | 8437977000 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 209379 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19047 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9330 MEDICAL PLAZA DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29406-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632638 | Thomas A Privett | Psychiatry & Neurology | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2005-07-11 |
| 1740896380 | Robert Palmer Wolfrom | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-09-18 |
| 1801415872 | Holly Robinson | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-10 |
| 1578192951 | Destine Hoover | Pharmacist | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-04-07 |
| 1134751829 | Julie Ivester Hayler | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-10 |
| 1659903078 | Elizabeth Mary Chouinard | Registered Nurse | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2020-02-05 |
| 1174018162 | Priscilla Hurt | Social Worker | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-22 |
| 1669965810 | Jacquelyn Suzette Ammons | Nurse Practitioner | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2018-06-12 |
| 1396249819 | Jennifer L Allmon | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr, Charleston, SC 29406 | 2018-03-20 |
| 1609395458 | Mason Patrick Weisgarber | Physician Assistant | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1043822216 | Amber Bagwell | Nurse Practitioner | 442 King St Fl 2, Charleston, SC 29403-6230 | 2020-08-19 |
| 1790396273 | Amanda Jo Grant | Nurse Practitioner | 2207 Seneca Dr, Charleston, IL 61920-3836 | 2020-08-10 |
| 1811514961 | Isabel Margarita Lemasters | Nurse Practitioner | 3226 Moonlight Dr, Charleston, SC 29414-8052 | 2020-07-05 |
| 1255954566 | Christina L. White | Nurse Practitioner | 1199 Persimmon Rd, Charleston, IL 61920 | 2020-05-20 |
| 1770123929 | Catherine A. Woods | Nurse Practitioner | 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 | 2020-01-15 |
| 1104464999 | Brittany D Griffith | Nurse Practitioner | 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 | 2019-12-12 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1124660774 | Dennis Robert Moore | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 | 2019-10-16 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on DR. JOURNEY LUCIAN HENDERSON.
| 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.