Provider Demographics
NPI:1114752714
Name:HENSLEY, CORY (APRN)
Entity type:Individual
Prefix:
First Name:CORY
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14122 JENNIFER WAY
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-7778
Mailing Address - Country:US
Mailing Address - Phone:813-447-6018
Mailing Address - Fax:
Practice Address - Street 1:38240 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1367
Practice Address - Country:US
Practice Address - Phone:813-788-3582
Practice Address - Fax:813-780-6707
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11033771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily