Organization
GRACE ADVANCED WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HENSLEY APRN (OWNER/PROVIDER)
(931) 295-3547
Entity
Organization
Contact information
Practice address
543 E MAIN ST, HOHENWALD, TN 38462-2007
(931) 295-3547
(949) 561-5674
Mailing address
543 E MAIN ST, HOHENWALD, TN 38462-2007
(931) 295-3547
(949) 561-5674
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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