Individual
MARISSA L HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 MCCALLIE AVE, CHATTANOOGA, TN 37404-3230
(423) 698-2435
Mailing address
402 COVENANT DR NE, CLEVELAND, TN 37323-4444
(423) 284-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000187584
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31560
TN
Other
Enumeration date
03/17/2022
Last updated
04/11/2022
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