Individual
MS. LORA BLAINE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
810 W CHURCH ST, GREENEVILLE, TN 37745-3285
(423) 798-1749
(423) 798-1755
Mailing address
115 HAMMOND RD, ROGERSVILLE, TN 37857-5704
(423) 272-4050
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000185997
TN
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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