Provider Demographics
NPI:1437897782
Name:HENSLEY, CHRISTOPHER BRANDON (RN, BSN)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRANDON
Last Name:HENSLEY
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 RIVER BEND DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29821-3724
Mailing Address - Country:US
Mailing Address - Phone:706-755-4384
Mailing Address - Fax:
Practice Address - Street 1:1 MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8759
Practice Address - Country:US
Practice Address - Phone:912-535-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA296042163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine