IndividualActive
Cindy Henley, ADVANCE PRACTICE NUR
NPI 1558468975 · Gerontology Nurse Practitioner · Marion, IL
Provider details
- NPI number
- 1558468975
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ADVANCE PRACTICE NUR
- Sex
- Female
- Sole proprietor
- No
- License
- 209-002243 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1909 W Coolidge Ave
Marion, IL 62959
Phone: (618) 997-5677
Fax: (618) 997-3627
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 193
Goreville, IL 62939-0193
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2018-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.