1952742736 NPI number — ERIN K HINES MSN, APRN, FNP-C,

Table of content: ERIN K HINES MSN, APRN, FNP-C, (NPI 1952742736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952742736 NPI number — ERIN K HINES MSN, APRN, FNP-C,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HINES
Provider First Name:
ERIN
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, APRN, FNP-C,
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952742736
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1080 RIVER OAKS DR
Provider Second Line Business Mailing Address:
STE B103
Provider Business Mailing Address City Name:
FLOWOOD
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39232-9779
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-366-1011
Provider Business Mailing Address Fax Number:
601-932-6111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1080 RIVER OAKS DR
Provider Second Line Business Practice Location Address:
STE B103
Provider Business Practice Location Address City Name:
FLOWOOD
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39232-9779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-366-1011
Provider Business Practice Location Address Fax Number:
601-932-6111
Provider Enumeration Date:
07/09/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  R886024 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com