MRS. LISA HENDERSON CRNP
NPI 1396135836
Nurse Practitioner in Southampton, PA

Active since February 04, 2015
729 GROVE AVE, SOUTHAMPTON, PA 18966(215) 322-0800(215) 322-2073 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Henderson Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA HENDERSON CRNP (NPI 1396135836) is an individual nurse practitioner in Southampton, Pennsylvania, licensed in Pennsylvania (SP011196) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1396135836
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LISA HENDERSONCredential: CRNP
Location Address729 GROVE AVESouthampton, PA 18966-6008
Mailing Address729 Grove AveSouthampton, PA 18966-6008 · (215) 322-0800 · Fax (215) 322-2073
Fax(215) 322-2073
Sole ProprietorNo
Enumeration DateFebruary 4, 2015
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1396135836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP011196
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP011196 (PA)
729 GROVE AVE, Southampton, PA 18966

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
729 GROVE AVE, SUITE 2
SOUTHAMPTON, PA 18966
Chiropractor
729 GROVE AVE, SUITE 2
SOUTHAMPTON, PA 18966
Psychologist (Clinical)
729 GROVE AVE, SUITE 3
SOUTHAMPTON, PA 18966
Internal Medicine (Infectious Disease)
729 GROVE AVE, UNIT 4
SOUTHAMPTON, PA 18966

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396135836, enumerated as an "individual" on February 04, 2015.

The provider is located at 729 GROVE AVE SOUTHAMPTON, PA 18966 and the phone number is (215) 322-0800.

Nurse Practitioner with taxonomy code 363L00000X.