Individual provider · Type 1 NPI

Susan Denise Hensley Hannah, AGNP-C

Nurse Practitioner · Winston Salem, NC

NPI number 1679090773 Active

Practice location

770 Highland Oaks Dr Ste 100
Winston Salem, NC 27103-7105

Fax (336) 774-8601

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5009846 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679090773

Susan Denise Hensley Hannah, AGNP-C's National Provider Identifier is 1679090773, issued on Aug 29, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 16, 2025.