Healthcare Provider Details

I. General information

NPI: 1417872854
Provider Name (Legal Business Name): EMILEY HENSLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 LAKE CUMBERLAND RD
MOUNT VERNON KY
40456-8431
US

IV. Provider business mailing address

1770 LAKE CUMBERLAND RD
MOUNT VERNON KY
40456-8431
US

V. Phone/Fax

Practice location:
  • Phone: 606-256-4148
  • Fax:
Mailing address:
  • Phone: 606-256-7488
  • Fax: 606-256-8036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4061778
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: