Doctor Name: | SARAH FAYE HENSON |
NPI Number: | 1003274291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP130061 |
Business Practice Address: | 410 N 4th St Longview, TX - 756016511 |
Business Phone Number: | 9032348808 |
Business Fax Number: | 9032349769 |
Mailing Address: | Po Box 2709, LONGVIEW |
State: | TX |
Postal Code: | 75606 |
Phone Number: | 9032348808 |
Fax Number: | 9032349769 |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP130061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |