Provider Demographics
NPI:1194855635
Name:HENSLEY, SHEILA W
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:W
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 178
Mailing Address - Street 2:
Mailing Address - City:DECATURVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38329-0178
Mailing Address - Country:US
Mailing Address - Phone:731-852-2461
Mailing Address - Fax:731-852-3794
Practice Address - Street 1:155 NORTH PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:DECATURVILLE
Practice Address - State:TN
Practice Address - Zip Code:38329-0178
Practice Address - Country:US
Practice Address - Phone:731-852-2461
Practice Address - Fax:731-852-3794
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41460163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse