MEDICARE: SHERRI LEANN HENDERSON PA C

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
1	363AS0400X	Surgical Physician Assistant	PA9105795	FL
2	363A00000X	Physician Assistant	PA9105795	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417924358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI LEANN HENDERSON PA C

Provider Business Mailing Address
First Line	:	240 N WICKHAM RD STE 108
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-541-1777
Fax Number	:	321-541-1788

Provider Business Practice Location Address
First Line	:	240 N WICKHAM RD STE 108
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-841-1777
Fax Number	:	321-841-1788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	03/31/2025

Similar Medicare Providers

1285522367 — KATIE E TAYLOR PA-C
Practice Location Address:

240 N WICKHAM RD STE 102
MELBOURNE, FL
32935-8663

Practice Phone: 321-541-1777
Practice Fax: 321-541-1787

1669959565 — BROOKE A EVANS DNP-FNP
Practice Location Address:

240 N WICKHAM RD STE 102
MELBOURNE, FL
32935-8663

Practice Phone: 321-541-1777
Practice Fax: 321-541-1787

1750382289 — ANTHONY LOMBARDO M.D.
Practice Location Address:

240 N WICKHAM RD STE 108
MELBOURNE, FL
32935-8663

Practice Phone: 321-255-8181
Practice Fax:

1740271717 — MR. DAVID W FERGUSON P.A.
Practice Location Address:

240 N WICKHAM RD STE 104
MELBOURNE, FL
32935-8663

Practice Phone: 321-541-1777
Practice Fax: 321-541-1786

1871700161 — MR. JOSEPH JAMES CANESTRARI PA-C
Practice Location Address:

240 N WICKHAM RD STE 102
MELBOURNE, FL
32935-8663

Practice Phone: 321-541-1777
Practice Fax: 321-541-1797

1013187681 — DR. RICHARD JAMES HARRISON JR. M.D.
Practice Location Address:

240 N WICKHAM RD STE 104
MELBOURNE, FL
32935-8663

Practice Phone: 321-541-1777
Practice Fax: 321-541-1786

Directions to “ SHERRI LEANN HENDERSON PA C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.