National Provider Identifier

Heavenlee Joy Henderson, LPN

Heavenlee Joy Henderson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 831-4182.

NPI 1124626031Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1124626031
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 13, 2020
Last Updated
October 13, 2020

Practice Location

  • 61 Farleigh Ave
  • Rochester, NY 14606-2007

Phone: (585) 831-4182

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1124626031
Entity Type
Individual
Last Name
Henderson
First Name
Heavenlee
Middle Name
Joy
Name Prefix
MS.
Credential
LPN
Mailing Street Address
61 Farleigh Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-2007
Mailing Country
US
Mailing Phone
(585) 831-4182
Practice Street Address
61 Farleigh Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-2007
Practice Country
US
Practice Phone
(585) 831-4182
Enumeration Date
October 13, 2020
Last Updated
October 13, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)