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

Sandra M Henderson, FNP

Individual provider Family Nurse Practitioner · NPI 1033664503

Sandra M Henderson, FNP is a Nurse Practitioner in Johnson City, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 2016, 10 years ago. Practices with Tricities Skin and Cancer, a 15-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1627 Old Gray Station Rd
Johnson City, TN 37615-4193
Phone: (423) 282-3376
Fax: (423) 791-8388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21628 (TN)

Record details

NPI number1033664503
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 24, 2016
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Tricities Skin And Cancer. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City