Provider Demographics
NPI:1073677282
Name:HENSCHEID, JOANNA (PHCWHCNP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:HENSCHEID
Suffix:
Gender:F
Credentials:PHCWHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 COLORADO BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6871
Mailing Address - Country:US
Mailing Address - Phone:940-387-6248
Mailing Address - Fax:940-381-1881
Practice Address - Street 1:3304 COLORADO BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6871
Practice Address - Country:US
Practice Address - Phone:940-387-6248
Practice Address - Fax:940-381-1881
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX601133363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology