SHALISA ANNE HENSON

CENTRALIA, IL
NPI1598914905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209017353)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209007259)
367A00000X Advanced Practice Midwife
(Licence: MO  2019040165)
Enumeration Date2008-09-10
Last Update Date2024-05-21
Business Address
SHALISA ANNE HENSON CNM
430 N PLEASANT AVE
CENTRALIA, IL 62801-3006
Phone number: 618-436-8350
Mailing Address
SHALISA ANNE HENSON CNM
430 N PLEASANT AVE
CENTRALIA, IL 62801-3006
Phone number: 618-436-8350
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