Healthcare Provider Details

I. General information

NPI: 1023757937
Provider Name (Legal Business Name): JAMES DANIEL HENSEL CRNP, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 WINTON BLOUNT LOOP
MONTGOMERY AL
36117-3507
US

IV. Provider business mailing address

233 WINTON BLOUNT LOOP
MONTGOMERY AL
36117-3507
US

V. Phone/Fax

Practice location:
  • Phone: 334-239-2622
  • Fax: 334-625-7602
Mailing address:
  • Phone: 334-239-2622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-190092
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-190092
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: