Provider Demographics
NPI:1053901645
Name:HENSS, ASHLEY NADINE (AGNP)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NADINE
Last Name:HENSS
Suffix:
Gender:F
Credentials:AGNP
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-454-8762
Mailing Address - Fax:314-454-7524
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV IM PULMONARY
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-454-8762
Practice Address - Fax:314-454-7524
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2024-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2021001845363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420096497Medicaid