Henson, Ola Merle

Henson, Ola Merle is an sole proprietor health care provider with primary practice located at 622 Wilson Ave , Tullahoma TN 37388-3265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henson, Ola Merle can be contacted via phone (931) 393-2362.

Contact Information

Primary practice address
622 Wilson Ave Tullahoma TN 37388-3265
Phone: (931) 393-2362
Fax: (931) 393-3212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN06613 Tennessee

Profile Details

NPI number 1154302958
LBN Legal business name Henson, Ola Merle
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jan 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154302958 NPPES
Tennessee MEDICAID 3909621

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