Provider Demographics
NPI:1598144826
Name:HENDERSON-CHAMBERS, YOLANDA DENISE (RN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:DENISE
Last Name:HENDERSON-CHAMBERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9109 SAINT BARTS RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-3525
Mailing Address - Country:US
Mailing Address - Phone:817-210-2049
Mailing Address - Fax:
Practice Address - Street 1:9109 SAINT BARTS RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-3525
Practice Address - Country:US
Practice Address - Phone:817-210-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX809833163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator