Provider Demographics
NPI:1427352962
Name:HENSLEY, REBECCA ANN (MSN, RN, PNP-BC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ANN
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:MSN, RN, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:KY
Mailing Address - Zip Code:40823-0023
Mailing Address - Country:US
Mailing Address - Phone:606-273-5179
Mailing Address - Fax:
Practice Address - Street 1:4000 N US HIGHWAY 119
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:KY
Practice Address - Zip Code:40806-8337
Practice Address - Country:US
Practice Address - Phone:606-505-7747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-25
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007109363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics