Healthcare Provider Details

I. General information

NPI: 1316412281
Provider Name (Legal Business Name): JAMIE WATSON HENSLEY APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. JAMIE WATSON SMITH

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 NIKE DR
HILLIARD OH
43026-9813
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-6810
  • Fax: 614-777-9032
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.023616
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.023616
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: