Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Rose Henderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215892070

Crystal Rose Henderson is a Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1520 Northpark Dr
Tahlequah, OK 74464-6241
Phone: (580) 504-8922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215892070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address1520 Northpark Dr, Tahlequah, OK 74464-6241

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