Individual
DEANNA HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0509
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022423
—
TN
Enumeration date
11/05/2015
Last updated
04/10/2019
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