MEDICARE: MRS. CHELSEA S HENSON N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN122848	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265689665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHELSEA S HENSON N.P.

Provider Business Mailing Address
First Line	:	3842 JACKS CREEK RD NW
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30655-5348
Country	:	US
Telephone Number	:	770-355-1829
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 JOHNSON FERRY RD STE 660
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1608
Country	:	US
Telephone Number	:	404-847-1580
Fax Number	:	404-303-2015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	04/16/2019

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