Stacey Faye Henson, LPN is a
Licensed Practical Nurse based in Dover, Tennessee. Stacey Faye Henson is licensed to practice in Tennessee (license number 84371) and her current practice location is
1021 Spring St, Dover, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 232-5329.
NPI number for Stacey Faye Henson is 1902403215 and her current mailing address is 254 Onion Hill Rd, Dover, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902403215.
Provider's Profile
| Full Name | Stacey Faye Henson |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1021 Spring St, Dover, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902403215
- Provider Enumeration Date: 10/08/2020
- Last Update Date: 10/08/2020
Medical Identifiers
Medical identifiers for Stacey Faye Henson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902403215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 84371 (Tennessee) | Primary |
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. Stacey Faye 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 |
|---|
Stacey Faye Henson, LPN
254 Onion Hill Rd,
Dover, TN 37058-1410
Ph: (931) 305-1925 | Stacey Faye Henson, LPN
1021 Spring St,
Dover, TN 37058-3302
Ph: (931) 232-5329 |
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