STEPHANIE DANIELLE HENDERSON


Address: 5113 Wayland Dr, Odessa, TX 79762-5520
Phone: 4323322080

STEPHANIE DANIELLE HENDERSON (NPI# 1699318329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699318329
Entity Type Individual
Full Name STEPHANIE DANIELLE HENDERSON
Credential NP-C
Practice Address 5113 Wayland Dr
Odessa
TX 79762-5520
Mailing Address 7201 Raphael St
Odessa
TX 79765-8003
Practice Telephone 4323322080
Mailing Telephone 4326616378
Enumeration Date 2019-10-25
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP143310 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers STEPHANIE HENDERSON

NPI Name Taxonomy Address Enumeration
1093325581 Stephanie Henderson Social Worker 301 England St # 485, Ashland, VA 23005-2109 2020-08-09
1518496520 Stephanie Leigh Henderson Speech-Language Pathologist 9990 Richmond Ave Ste 201s, Houston, TX 77042-4559 2017-06-05
1528373313 Stephanie Lynn Henderson Dietitian, Registered 1555 Vernon Ave, Blackfoot, ID 83221 2010-08-17
1861968810 Stephanie Henderson Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2018-10-17
1639678857 Stephanie Henderson Case Manager/Care Coordinator 38882 Mentor Ave, Willoughby, OH 44094-7875 2018-02-02
1750836540 Stephanie Henderson Counselor 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 2016-08-22
1982073243 Stephanie Deshae Henderson Social Worker 4500 S Lancaster Rd, Dallas, TX 75216-7167 2015-09-16
1417388463 Stephanie Michelle Renea Henderson Counselor 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 2013-12-02
1235490293 Stephanie Ann Henderson Dentist 5053 Tuttle Crossing Blvd, Dublin, OH 43016-1533 2012-06-06
1982997284 Stephanie Diane Henderson Obstetrics & Gynecology 348 E 4500 S Ste 200, Salt Lake City, UT 84107 2011-05-18

Office Location

Street Address 5113 WAYLAND DR
City ODESSA
State TX
Zip Code 79762-5520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942770029 Emily Gena Copeland Nurse Practitioner 5113 Wayland Dr, Odessa, TX 79762-5520 2018-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982256798 Winwood Dental and Orthodontics Pllc Dentist 3913 E 42nd Street, Odessa, TX 79762 2019-07-11
1265995716 Ryan Daniels Specialist/Technologist 4901 E University, Gym 111, Odessa, TX 79762 2019-04-11
1215429592 Michael Wayne Samp Respiratory Therapist, Registered 2807 Windsor Dr, Odessa, TX 79762 2018-06-03
1972003663 Kristi Young Registered Nurse 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 2018-02-19
1427508902 Whitney Diakur Optometrist 5011 E. 42nd St, Odessa, TX 79762 2016-10-10
1295184927 Farqad Kamal Abuoudeh Dentist 6109 Tx-191 Frontage, Odessa, TX 79762 2016-06-03
1457714180 Daniel & Max, LLC Optometrist 5011 E. 42nd Street, Odessa, TX 79762 2016-03-31
1407225774 Neri Campos-gardea Massage Therapist 3952 E 42d, Odessa, TX 79762 2015-09-17
1508255886 Permian Er IIi Clinic/Center 6131 East Highway 191, Odessa, TX 79762 2015-01-09
1548675861 Tina Desai Dentist 6109 Texas 191, Odessa, TX 79762 2014-06-25
Find all providers in zip 79762

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639776115 Taylor Marie Russell Nurse Practitioner 15217 Wind Whisper Dr, Odessa, FL 33556-1832 2020-10-07
1992310551 Taylor Barnes Nurse Practitioner 5919 Fitzgerald Rd, Odessa, FL 33556-2355 2020-09-10
1558995753 Mission Health, Pllc Nurse Practitioner 3112 San Saba Dr, Odessa, TX 79765-5058 2020-02-26
1710549084 Alyce Greenwood Nurse Practitioner 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 2019-07-08
1073170411 Trudian Alicia Lester Nurse Practitioner 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 2019-05-21
1043773153 Janette Garcia Nurse Practitioner 420 E 6th St Ste 201b, Odessa, TX 79761-4572 2019-04-08
1073074258 Courtney Clubb Nurse Practitioner 410 N Hancock Ave # 4, Odessa, TX 79761-5140 2019-03-28
1891256434 Joann Mercedes Georges Guillory Nurse Practitioner 56 Berkshire Cir, Odessa, TX 79765-2218 2019-03-27
1689138521 Jacqueline Alcantara Nurse Practitioner 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 2019-01-24
1841767597 Michael Ebrada Nurse Practitioner 16400 Rollingbrook Dr, Odessa, FL 33556-4907 2018-10-31
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79762

Improve Information

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Dataset Information

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.

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