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Individual

MS. JENNIFER LYNN HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP

Contact information

Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-0655

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006185
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100093370
KY
01
CB8861
RAILROAD MEDICARE
KY
Enumeration date
07/31/2009
Last updated
05/12/2015
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