Provider Demographics
NPI:1063142057
Name:HIS HANDS HEALTH CARE
Entity type:Organization
Organization Name:HIS HANDS HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:865-258-4761
Mailing Address - Street 1:164 OLD MAYNARDVILLE HWY W
Mailing Address - Street 2:
Mailing Address - City:MAYNARDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37807-2848
Mailing Address - Country:US
Mailing Address - Phone:865-258-4761
Mailing Address - Fax:
Practice Address - Street 1:2706 W HIGHWAY 11E
Practice Address - Street 2:
Practice Address - City:STRAWBERRY PLAINS
Practice Address - State:TN
Practice Address - Zip Code:37871-3432
Practice Address - Country:US
Practice Address - Phone:865-258-4761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty