Regina Marie Henderson, is a
Nurse Practitioner - Family based in Callaway, Florida. Regina Marie Henderson is licensed to practice in Florida (license number APRN11038497) and her current practice location is
626 N Tyndall Pkwy, Callaway, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 871-6363.
NPI number for Regina Marie Henderson is 1144023797 and her current mailing address is 2400 Maple Ct, Panama City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144023797.
Provider's Profile
Full Name | Regina Marie Henderson |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 626 N Tyndall Pkwy, Callaway, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144023797
- Provider Enumeration Date: 03/29/2025
- Last Update Date: 03/29/2025
Medical Identifiers
Medical identifiers for Regina Marie Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144023797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11038497 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Regina Marie Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Regina Marie Henderson, 2400 Maple Ct, Panama City, FL 32404-3047 Ph: (850) 814-3309 | Regina Marie Henderson, 626 N Tyndall Pkwy, Callaway, FL 32404-6132 Ph: (850) 871-6363 |
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