Provider Demographics
NPI:1932663846
Name:HENSLEY, LUVENA (APRN, FNP-C,PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LUVENA
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:APRN, FNP-C,PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 OLD KY 11
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41314-9171
Mailing Address - Country:US
Mailing Address - Phone:606-593-6400
Mailing Address - Fax:
Practice Address - Street 1:453 OLD KY 11
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41314-9171
Practice Address - Country:US
Practice Address - Phone:606-593-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013075363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily