Provider Demographics
NPI:1205621885
Name:HENDLEY, GERALDINE
Entity type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:
Last Name:HENDLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-3261
Mailing Address - Country:US
Mailing Address - Phone:423-432-0249
Mailing Address - Fax:
Practice Address - Street 1:702 N HIGHLAND PARK AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1227
Practice Address - Country:US
Practice Address - Phone:678-491-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider