Individual
NOLAN R HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1410 TUSCULUM BLVD STE 1500, GREENEVILLE, TN 37745-5810
(423) 638-2270
(423) 638-2205
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4022
TN
363AM0700X
Medical Physician Assistant
4022
TN
363AS0400X
Surgical Physician Assistant
4022
TN
Other
Enumeration date
11/19/2019
Last updated
06/27/2024
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