Provider Demographics
NPI:1194075374
Name:HENLEY, AIMEE MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:MARIE
Last Name:HENLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:AIMEE
Other - Middle Name:MARIE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:1404 TUSCULUM BLVD
Practice Address - Street 2:SUITE 3000
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4395
Practice Address - Country:US
Practice Address - Phone:423-783-7965
Practice Address - Fax:423-783-7970
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily