MARY ROSEANN HENSLEE N.P. NPI 1063563468

NPI Information

NPI: 1063563468
Provider Name: MARY ROSEANN HENSLEE, N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
14557 HIGHWAY 19 STE A
GRIFFIN, GA
ZIP 30224
Phone: (678) 688-1580
Get Directions

Mary Roseann Henslee, N.P. is a pediatrics nurse practitioner in Griffin, GA. Mary Roseann Henslee, N.P. NPI is 1063563468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14557 HIGHWAY 19 STE A
GRIFFIN, GA
ZIP 30224-582
Phone: (678) 688-1580
Fax: (678) 688-1594

The enumeration date for this NPI number is 1/15/2007 and was last updated on 2/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN141558	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	487848115D	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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