Individual
MARY HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 CHERRY ST, SEVIERVILLE, TN 37862-3809
(865) 654-0866
Mailing address
330 CHERRY ST, SEVIERVILLE, TN 37862-3809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN120196
TN
163WC0200X
Critical Care Medicine Registered Nurse
RN120196
TN
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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