LAKISHA HENDERSON LICENSED NURSE NPI 1043651367

NPI Information

NPI: 1043651367
Provider Name: LAKISHA HENDERSON, LICENSED NURSE
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2619 S. LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (214) 376-7388
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Lakisha Henderson, LICENSED NURSE is an addiction (substance use disorder) registered nurse in Dallas, TX. Lakisha Henderson, LICENSED NURSE NPI is 1043651367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2619 S. LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (214) 376-7388
Fax: (214) 376-7899

The enumeration date for this NPI number is 7/15/2013 and was last updated on 4/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	300712	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300712	OTHER	TEXAS	LVN

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: 11/14/2023

NPI Synchronization or Removal

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