Provider Demographics
NPI:1871849141
Name:HENLEY, RYANN ELAINE (CRNP)
Entity Type:Individual
Prefix:
First Name:RYANN
Middle Name:ELAINE
Last Name:HENLEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:RYANN
Other - Middle Name:ELAINE
Other - Last Name:BEWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 11407 DEPT # 5839
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-5839
Mailing Address - Country:US
Mailing Address - Phone:256-386-5898
Mailing Address - Fax:256-386-5897
Practice Address - Street 1:1100 S JACKSON HWY STE 259
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5769
Practice Address - Country:US
Practice Address - Phone:256-383-3372
Practice Address - Fax:256-386-7109
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117724363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL142282Medicaid
AL511-29678OtherBCBS AL
AL511-29678OtherBCBS AL