Provider Demographics
NPI:1639400062
Name:HENSLEY, LU ANN L (CRNP)
Entity Type:Individual
Prefix:
First Name:LU ANN
Middle Name:L
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 OFFICE PARK DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2437
Mailing Address - Country:US
Mailing Address - Phone:205-803-4384
Mailing Address - Fax:205-803-4354
Practice Address - Street 1:810 SAINT VINCENTS DR
Practice Address - Street 2:BRUNO CANCER CENTER
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1601
Practice Address - Country:US
Practice Address - Phone:205-939-7880
Practice Address - Fax:205-390-2509
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-049864363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health