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

Dr. Shelley Joyceanne Thomas Henderson, MD

Individual provider Family Medicine Physician · NPI 1962963736

Dr. Shelley Joyceanne Thomas Henderson, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Family Practice and Counseling Services Network, a 42-clinician group. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 S 54th St
Philadelphia, PA 19143-1900
Phone: (215) 240-4820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD478911 (PA)

Record details

NPI number1962963736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Practice And Counseling Services Network — 42 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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