| Autumn Nicole Henson, FNP | |
|
397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | |
| (757) 395-1600 | |
| Not Available |
| Full Name | Autumn Nicole Henson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 397 Little Neck Rd Ste 120, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265789853 | NPI | - | NPPES |
| 1265789853 | Medicaid | MO | |
| P01106285 | Other | MO | RR MCR |
| 431560263 | Other | MO | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024182744 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2012028199 (Missouri) | Secondary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Roanoke Valley Healthcare Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Nicole Henson, FNP 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 Ph: (757) 395-1600 | Autumn Nicole Henson, FNP 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 Ph: (757) 395-1600 |
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665 | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000 | |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2624 Southern Blvd Ste 102, Virginia Beach, VA 23452 Phone: 757-453-1256 Fax: 319-359-3813 | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850 | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017 | |
Rebekah Harriet Camerino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 First Colonial Rd Ste 204, Virginia Beach, VA 23454 Phone: 757-363-8212 | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411 |