Healthcare Provider Details

I. General information

NPI: 1033983937
Provider Name (Legal Business Name): LINDA HOLCOMBE HENSLEIGH CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 SOUTHLAKE PKWY STE 200
HOOVER AL
35244-3319
US

IV. Provider business mailing address

4515 SOUTHLAKE PKWY STE 200
HOOVER AL
35244-3319
US

V. Phone/Fax

Practice location:
  • Phone: 205-313-7246
  • Fax:
Mailing address:
  • Phone: 205-313-7246
  • Fax: 205-939-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-159788
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: