| Shirley C Henderson, LPN | |
|
249 County Road 1101, Booneville, MS 38829-9630 | |
| (662) 728-0377 | |
| Not Available |
| Full Name | Shirley C Henderson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 249 County Road 1101, Booneville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962522854 | NPI | - | NPPES |
| 0077348 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P194832 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley C Henderson, LPN 249 County Road 1101, Booneville, MS 38829-9630 Ph: (662) 728-0377 | Shirley C Henderson, LPN 249 County Road 1101, Booneville, MS 38829-9630 Ph: (662) 728-0377 |
Debbie Gann Stolz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 404 Pinehill Rd, Booneville, MS 38829 Phone: 662-728-3965 Fax: 662-728-3965 | |
Cherry Kennedy, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 N Fifth St, Booneville, MS 38829 Phone: 662-728-5894 |