Autumn Nicole Henson, FNP | |
397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | |
(757) 395-1600 | |
Not Available |
Full Name | Autumn Nicole Henson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 397 Little Neck Rd Ste 120, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265789853 | NPI | - | NPPES |
1265789853 | Medicaid | MO | |
P01106285 | Other | MO | RR MCR |
431560263 | Other | MO | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024182744 (Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | 2012028199 (Missouri) | Secondary |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
---|---|
Autumn Nicole Henson, FNP 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 Ph: (757) 395-1600 | Autumn Nicole Henson, FNP 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 Ph: (757) 395-1600 |
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665 | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000 | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850 | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017 | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411 | |
Ms. Patricia G Dudley, RNC, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454 Phone: 757-481-7222 Fax: 757-390-2935 | |
Keisha Monique Baxter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452 Phone: 757-802-4500 Fax: 757-226-9002 |