Provider Demographics
NPI:1316412281
Name:HENSLEY, JAMIE WATSON (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:WATSON
Last Name:HENSLEY
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:WATSON
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5300 NIKE DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9813
Practice Address - Country:US
Practice Address - Phone:614-533-6810
Practice Address - Fax:614-777-9032
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023616363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner