Individual
DR. MARIANNE CAROL HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4900
(803) 744-4938
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 744-4900
(803) 744-4938
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
25704
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2021
Last updated
04/19/2023
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