IndividualActive
Kelley Henson, N.P.
NPI 1205060415 · Pediatric Nurse Practitioner · Cannon Afb, NM
Provider details
- NPI number
- 1205060415
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- APN13239 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
224 W D. L. Ingram Avenue
Bldg. 1408
Cannon Afb, NM 88103
Phone: (757) 225-6611
Approximate (ZIP-level) locationGet directions
Mailing address
224 W D. L. Ingram Avenue
Cannon Afb, NM 88103
Registry dates
- Enumerated
- 2009-05-04
- Last updated
- 2024-05-23
- Certified
- 2024-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.