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NPI Code Detail

MEDICARE: MOLLY ELIZABETH HENSON

MEDICARE: MOLLY ELIZABETH HENSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA-1493AR

General Provider Information

NPI Number : 1255274650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY ELIZABETH HENSON
Provider Business Mailing Address
First Line : PO BOX 1128
Second Line :
City : SEARCY
State : AR
Zip : 72145-1128
Country : US
Telephone Number : 501-230-6643
Fax Number : 855-897-8849
Provider Business Practice Location Address
First Line : 3214 E RACE AVE FL 2
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ MOLLY ELIZABETH HENSON ” Practice Location

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