IndividualActive
Adrian Henson
NPI 1265229538 · Family Nurse Practitioner · Maryville, IL
Provider details
- NPI number
- 1265229538
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209033502 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2090 Vadalabene Dr
Maryville, IL 62062-5841
Phone: (618) 288-5430
Approximate (ZIP-level) locationGet directions
Mailing address
2090 Vadalabene Dr
Maryville, IL 62062-5841
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.