MARY ROSEANN HENSLEE N.P. NPI 1063563468

NPI Information

  • NPI: 1063563468
  • Provider Name: MARY ROSEANN HENSLEE, N.P.
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 14557 HIGHWAY 19 STE A
    GRIFFIN, GA
    ZIP 30224
  • Phone: (678) 688-1580

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NPI Details

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
1363LP0200XNurse PractitionerPediatricsRN141558GEORGIAYes

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
1487848115DMEDICAIDGEORGIA

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: 3/30/2025

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