| Doctor Name: | MRS. MARLA HENRY |
| NPI Number: | 1295740009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01378 APN |
| Business Practice Address: | 401 Midland St Clarendon, AR - 720292727 |
| Business Phone Number: | 8707473381 |
| Business Fax Number: | |
| Mailing Address: | 401 Midland St, CLARENDON |
| State: | AR |
| Postal Code: | 72029 |
| Phone Number: | 8002443602 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01378 APN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |