Individual
LAURA ASHLEY HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
4841 HIXSON PIKE STE A, HIXSON, TN 37343-4431
(423) 305-7980
(423) 305-7981
Mailing address
4841 HIXSON PIKE, SUITE A, HIXSON, TN 37343
(423) 771-7311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22246
TN
Other
Enumeration date
06/29/2017
Last updated
11/21/2022
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