Brandy N Henson, NP is a
Pediatrics based in Longview, Texas. Brandy N Henson is licensed to practice in Washington (license number AP60724707) and her current practice location is
818 N 4th St, Longview, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 236-8600.
NPI number for Brandy N Henson is 1316318157 and her current mailing address is 818 N 4th St, Longview, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316318157.
Provider's Profile
| Full Name | Brandy N Henson |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 818 N 4th St, Longview, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316318157
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 10/20/2021
Medical Identifiers
Medical identifiers for Brandy N Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316318157 | NPI | - | NPPES |
| 2074713 | Medicaid | WA | |
| 214655758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP60724707 (Washington) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP60724707 (Washington) | Secondary |
| 208000000X | Pediatrics | AP129290 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP60724707 (Washington) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | AP60724707 (Washington) | Secondary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | AP60724707 (Washington) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandy N Henson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (509) 942-3627 | Brandy N Henson, NP
818 N 4th St,
Longview, TX 75601
Ph: (903) 236-8600 |
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