| Mrs Candace Ohm Henderson, NP | |
|
101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 | |
| (334) 393-3686 | |
| (334) 347-4906 |
| Full Name | Mrs Candace Ohm Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 101 E Brunson St, Enterprise, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1110439 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Enterprise Women's Center, Llc. | 2163440843 | 4 |
| Entity Name | Enterprise Women's Center, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922190479 PECOS PAC ID: 2163440843 Enrollment ID: O20051110000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Candace Ohm Henderson, NP 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 Ph: (334) 393-3686 | Mrs Candace Ohm Henderson, NP 101 E Brunson St, Suite 200, Enterprise, AL 36330-2526 Ph: (334) 393-3686 |
Ms. Julie Frances Hughes, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-393-7337 | |
Jessica E Poitevint, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Samantha Elizabeth Pickett, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
Millicent R Harrison, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
Brandon Skinner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 404 N Main St, Enterprise, AL 36330 Phone: 334-308-9797 | |
Ms. Shelley Nicole Cammarota, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 606a Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-475-2462 | |
Amber Amuso Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 |