Individual
MS. GRACIE A HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1032 SPRUCE ST, GREENVILLE, MS 38701-4319
(662) 347-1132
Mailing address
PO BOX 4696, GREENVILLE, MS 38704-4696
(662) 347-1132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904188
MS
Other
Enumeration date
01/14/2021
Last updated
04/02/2024
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