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General NPI Number Information
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NPI Number | 1124853320
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Entity Type | Individual
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Provider Name | MARYJANE CHINYERE HENSHAW PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2024
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 805 BAGGINS CT
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City | GALLATIN
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State | TN
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Zip | 37066-0016
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Country | US
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Telephone | 615-602-5375
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Fax |
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Provider Business Mailing Address
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Address Line | 805 BAGGINS CT
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City | GALLATIN
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State | TN
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Zip | 37066-0016
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Country | US
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Telephone | 615-602-5375
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0039512
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1206339
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 889034
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61625478
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 37173
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024193966
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95032951
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5022418
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 323469
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License Number State | AZ
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