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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK L HENDERSON

Active

DERRICK L HENDERSON is a Community Health Worker healthcare provider located in SHREVEPORT, Louisiana. NPI 1902673668 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · SHREVEPORT, LA

Registration Details

NPI Number
1902673668
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2023 (2.7340442303456 yrs)
Last Updated
Dec 4, 2023

Practice Information

Address
3005 LONG PINES DR
SHREVEPORT, LA, 711193412
Browse LA providers · Browse ZIP 71119
Phone
3185726337
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in SHREVEPORT, LA

Name Credential NPI
MR. ROBERT EARL BLOUNT N/A 1528394368
MR. ERIC MARC ERLEWINE MPT 1750605622
KRASHANTA BARRETT PTA 1043692072
TAMA DEMERY 1477906535
JERELL M. COLEMAN B.S., ES 1790232767
EVE SCROGGINS BA 1710434766
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.