| NPI | 1649425745 |
|---|---|
| Former Name | MISTY MARIE HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3008211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9190978) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003274A) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2013-11-07 |