AUTUMN N HENSON FNP NPI 1265789853

NPI Information

NPI: 1265789853
Provider Name: AUTUMN N HENSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2120 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 869-6191
Get Directions

Autumn N Henson, FNP is a family nurse practitioner in Springfield, MO. Autumn N Henson, FNP NPI is 1265789853. 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:

2120 W KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-653
Phone: (417) 869-6191
Fax: (417) 869-4131

The enumeration date for this NPI number is 8/14/2012 and was last updated on 1/15/2013.

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	363LF0000X	Nurse Practitioner	Family	2012028199	MISSOURI	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	132680360	MEDICARE PIN	MISSOURI
2	P01106285	OTHER	MISSOURI	RR MCR
3	1265789853	MEDICAID	MISSOURI
4	431560263	OTHER	MISSOURI	TRICARE
5	132300241	MEDICARE PIN	MISSOURI

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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