| NPI | 1306372917 |
|---|---|
| Doing Business As | HENRIKSON PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEAN LYNN HENRIKSON Owner 325-703-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-05-20 |