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1588196190
CARISSA HENDERSON
COLLIERVILLE, TN
NPI
1588196190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22475)
Enumeration Date
2017-04-02
Last Update Date
2017-04-02
Business Address
Mrs. CARISSA HENDERSON APRN
832 W POPLAR AVE
COLLIERVILLE, TN 38017-4047
Phone number: 901-853-6428
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Mailing Address
Mrs. CARISSA HENDERSON APRN
832 W POPLAR AVE
COLLIERVILLE, TN 38017-4047
Phone number:
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