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STEPHANIE HENDERSON NP-C
NPI 1699318329
Nurse Practitioner - Family in Odessa, TX

Active since October 25, 2019
309 N LEE AVE, ODESSA, TX 79761(432) 335-3817 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2023, Apr 18, 2022, Oct 25, 2019 (3 updates tracked since 2019).

About Stephanie Henderson Np-c NPPES

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

STEPHANIE HENDERSON NP-C (NPI 1699318329) is an individual family provider in Odessa, Texas, licensed in Texas (AP143310) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1699318329
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE HENDERSONCredential: NP-C
Location Address309 N LEE AVEOdessa, TX 79761-5028
Mailing Address120 Rolling Winds CirOdessa, TX 79765-8912 · (432) 661-6378
Phone(432) 335-3817
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1699318329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP143310
309 N LEE AVE, Odessa, TX 79761
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Other Identifiers 1

Medicaid411206201TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Henderson's NPI number?

The NPI number for Stephanie Henderson is 1699318329. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Stephanie Henderson located?

Stephanie Henderson practices at 309 N Lee Ave, Odessa, TX 79761. The listed phone number is (432) 335-3817.

What is Stephanie Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Henderson was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.