Provider Demographics
NPI:1598995391
Name:HENSLEY, TINSLEY M (NP)
Entity Type:Individual
Prefix:
First Name:TINSLEY
Middle Name:M
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BOYNTON DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2737
Mailing Address - Country:US
Mailing Address - Phone:706-937-3331
Mailing Address - Fax:706-937-3346
Practice Address - Street 1:375 BOYNTON DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2737
Practice Address - Country:US
Practice Address - Phone:706-937-3331
Practice Address - Fax:706-937-3346
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN171049363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner