Provider Demographics
NPI:1851270110
Name:HENRY, TENEIL (FNP BC)
Entity type:Individual
Prefix:
First Name:TENEIL
Middle Name:
Last Name:HENRY
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4828 LIGHTHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-2084
Mailing Address - Country:US
Mailing Address - Phone:561-215-3550
Mailing Address - Fax:
Practice Address - Street 1:4828 LIGHTHOUSE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-2084
Practice Address - Country:US
Practice Address - Phone:561-215-3550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11041868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily