| Doctor Name: | MRS. PAULA MICHELLE HENRY |
| NPI Number: | 1598988677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP06866 |
| Business Practice Address: | 7720 Paragon Rd Centerville Finance, OH - 454594053 |
| Business Phone Number: | 9374338212 |
| Business Fax Number: | 9374338246 |
| Mailing Address: | 7720 Paragon Rd, CENTERVILLE FINANCE |
| State: | OH |
| Postal Code: | 454594053 |
| Phone Number: | 9374338212 |
| Fax Number: | 9374338246 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP06866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |