Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jermissia Latrice Henderson, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1679141881

Mrs. Jermissia Latrice Henderson, ACNPC-AG is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2021, 5 years ago. Practices with Wk North Pulmonary and Critical Care, a 22-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
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Practice location Address checks out

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone: (318) 212-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 220444 (LA)

Record details

NPI number1679141881
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wk North Pulmonary And Critical Care — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport