Provider Demographics
NPI:1437795572
Name:HENDLEY, LEIGH (FNP-C)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:HENDLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2694 POSSUM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:RAY CITY
Mailing Address - State:GA
Mailing Address - Zip Code:31645-6640
Mailing Address - Country:US
Mailing Address - Phone:229-561-1461
Mailing Address - Fax:
Practice Address - Street 1:603 E DENNIS AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:GA
Practice Address - Zip Code:31639-2510
Practice Address - Country:US
Practice Address - Phone:229-433-8730
Practice Address - Fax:229-433-8748
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN138247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily