Healthcare Provider Details

I. General information

NPI: 1255450813
Provider Name (Legal Business Name): CYNTHIA COTHREN HENDERSON ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 WARD DR STE 105
MURFREESBORO TN
37129-0558
US

IV. Provider business mailing address

1833 WARD DR STE 105
MURFREESBORO TN
37129-0558
US

V. Phone/Fax

Practice location:
  • Phone: 615-728-3876
  • Fax: 800-420-4869
Mailing address:
  • Phone: 615-728-3876
  • Fax: 800-420-4869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000006741
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: