Jean E Hensley, NP
Nurse Practitioner, Primary Care in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669946554
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1669946554
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jean E Hensley
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2019
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95010762 | CA | Yes |
Other names
- Jean E Hensley (Professional Name)
Practice location
4154 Charlene DrLos Angeles, CA 90043-1553
Phone 248-721-6527 · Fax 714-948-5912
Mailing address
11138 Del Amo Blvd Ste 329Lakewood, CA 90715-1103
Phone 248-721-6527 · Fax 714-948-5912
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