Provider Demographics
NPI:1881161602
Name:HENSLEY, MELANIE JOHNSON (FNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:JOHNSON
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3578
Mailing Address - Country:US
Mailing Address - Phone:828-438-1125
Mailing Address - Fax:828-438-1119
Practice Address - Street 1:304 S GREEN ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3578
Practice Address - Country:US
Practice Address - Phone:828-438-1125
Practice Address - Fax:828-438-1119
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily