Individual
ALICIA DIANE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
8301 HARCOURT RD STE 200, INDIANAPOLIS, IN 46260-2082
(317) 415-6600
(317) 415-6649
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28176948A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71005725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201331770
—
IN
Enumeration date
09/16/2015
Last updated
01/28/2026
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