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MR. RANDOLPH HAYES HENDERSON PHYSICIAN ASSISTANT NPI 1366530545


NPI Information

NPI: 1366530545
Provider Name: MR. RANDOLPH HAYES HENDERSON, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
1500 E WOODROW WILSON DRIVE
G V MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
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MR. Randolph Hayes Henderson, PHYSICIAN ASSISTANT is a physician assistant in Jackson, MS. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Randolph Hayes Henderson, PHYSICIAN ASSISTANT NPI is 1366530545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E WOODROW WILSON DRIVE
G V MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS
JACKSON, MS
ZIP 39216-199
Phone: (601) 362-4471
Fax: (601) 364-1325

The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA001MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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