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SHIRLEY C HENDERSON L.P.N.
NPI 1962522854
Licensed Practical Nurse in Booneville, MS

Active since April 02, 2007
249 COUNTY ROAD 1101, BOONEVILLE, MS 38829(662) 728-0377 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley C Henderson L.p.n. NPPES

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

SHIRLEY C HENDERSON L.P.N. (NPI 1962522854) is an individual licensed practical nurse in Booneville, Mississippi, licensed in Mississippi (P194832) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1962522854
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHIRLEY C HENDERSONCredential: L.P.N.
Location Address249 COUNTY ROAD 1101Booneville, MS 38829-9630
Mailing Address249 County Road 1101Booneville, MS 38829-9630 · (662) 728-0377
Phone(662) 728-0377
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1962522854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MS · P194832
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
249 COUNTY ROAD 1101, Booneville, MS 38829
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Other Identifiers 1

Medicaid0077348MS

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 Shirley Henderson's NPI number?

The NPI number for Shirley Henderson is 1962522854. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Shirley Henderson located?

Shirley Henderson practices at 249 County Road 1101, Booneville, MS 38829. The listed phone number is (662) 728-0377.

What is Shirley Henderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Henderson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.