Healthcare Provider Details

I. General information

NPI: 1235660473
Provider Name (Legal Business Name): KAREN HENSLEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 03/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 ALCOA HWY SUITE E 140
KNOXVILLE TN
37920-1501
US

IV. Provider business mailing address

1920 ALCOA HWY SUITE E 140
KNOXVILLE TN
37920-2244
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9421
  • Fax: 865-305-6958
Mailing address:
  • Phone: 865-305-9421
  • Fax: 865-305-6958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000022066
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: