Search › Illinois › 367A00000X
Shalisa Henson, CNM
NPI 1598914905 · on the registry since 2008
Practice
- Address
- 430 N Pleasant Ave
Centralia, IL 62801 - Phone
- (618) 436-8350
- Organisation at this address
- Heartland Women'S Healthcare Ltd
Physician Services Corp Of Southern IllinoisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 7115 E Saint Charles Rd, Columbia, MO
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Also registered as
- 363L00000X
367A00000X - Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois