DR. MICHELLE SPROAT HENDERSON FNP DNP JD NPI 1720420474

NPI Information

NPI: 1720420474
Provider Name: DR. MICHELLE SPROAT HENDERSON, FNP, DNP, JD
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2 INDEPENDENCE PT STE 100
GREENVILLE, SC
ZIP 29615
Phone: (855) 523-9355
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DR. Michelle Sproat Henderson, FNP, DNP, JD is a family nurse practitioner in Greenville, SC. DR. Michelle Sproat Henderson, FNP, DNP, JD NPI is 1720420474. 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:

2 INDEPENDENCE PT STE 100
GREENVILLE, SC
ZIP 29615-558
Phone: (855) 523-9355

The NPI 1720420474 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2013 and was last updated on 9/13/2022.

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	363L00000X	Nurse Practitioner		0024178796	VIRGINIA	No
2	363L00000X	Nurse Practitioner		C-APN.0001856-C-NP	COLORADO	No
3	363L00000X	Nurse Practitioner		AP146067	TEXAS	No
4	363L00000X	Nurse Practitioner		61062324	WEST VIRGINIA	No
5	363L00000X	Nurse Practitioner		827986	NEVADA	No
6	363L00000X	Nurse Practitioner		61062324	WASHINGTON	No
7	363L00000X	Nurse Practitioner		APRN11008513	FLORIDA	No
8	363LF0000X	Nurse Practitioner	Family	18375	SOUTH CAROLINA	Yes

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

NPI Synchronization or Removal

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