Healthcare Provider Details

I. General information

NPI: 1265395784
Provider Name (Legal Business Name): LAURA PAYNE HENSLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURIE HENSLEY APRN

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 OLD ROSEBUD RD STE 280
LEXINGTON KY
40509-8009
US

IV. Provider business mailing address

2716 OLD ROSEBUD RD STE 280
LEXINGTON KY
40509-8009
US

V. Phone/Fax

Practice location:
  • Phone: 859-554-2691
  • Fax: 859-554-2691
Mailing address:
  • Phone: 859-554-2691
  • Fax: 833-764-6131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4038835
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: