Individual
MR. WESLEY J HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
611 S MARSHALL AVE, MC LEANSBORO, IL 62859-1213
(618) 252-8625
(618) 252-2540
Mailing address
611 S MARSHALL AVE, PO BOX 429, MC LEANSBORO, IL 62859-1213
(618) 252-8625
(618) 252-2540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209007287
IL
Other
Enumeration date
10/09/2008
Last updated
03/27/2015
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