Shelise Ott Henderson, RN is a
Registered Nurse - School based in Shenandoah Junction, West Virginia. Shelise Ott Henderson is licensed to practice in West Virginia (license number 82109) and her current practice location is
75 Caspian Way, Shenandoah Junction, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 885-5020.
NPI number for Shelise Ott Henderson is 1275447427 and her current mailing address is 75 Caspian Way, Shenandoah Junction, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275447427.
Provider's Profile
| Full Name | Shelise Ott Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - School |
|---|
| Location | 75 Caspian Way, Shenandoah Junction, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275447427
- Provider Enumeration Date: 10/02/2026
- Last Update Date: 10/02/2026
Medical Identifiers
Medical identifiers for Shelise Ott Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275447427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WS0200X | Registered Nurse - School | 82109 (West Virginia) | 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. Shelise Ott 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 |
Shelise Ott Henderson, RN 75 Caspian Way, Shenandoah Junction, WV 25442-4804 Ph: (304) 885-5020 | Shelise Ott Henderson, RN 75 Caspian Way, Shenandoah Junction, WV 25442-4804 Ph: (304) 885-5020 |
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