Individual
MRS. KIMBERLY MICHELLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
Mailing address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005910
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005910
CERTIFIED NURSE PRACTITIONER
AR
01
—
R083082
REGISTERED NURSE
AR
Enumeration date
09/17/2018
Last updated
09/17/2018
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