Individual
OLA MERLE HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
622 WILSON AVE, TULLAHOMA, TN 37388-3265
(931) 393-2362
(931) 393-3212
Mailing address
622 WILSON AVE, TULLAHOMA, TN 37388-3265
(931) 393-2362
(931) 393-3212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN06613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3909621
—
TN
Enumeration date
11/09/2005
Last updated
01/14/2013
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