Individual
CANDANCE REBECCA HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2690
(601) 288-2695
Mailing address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2690
(601) 288-2695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R856290
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03087004
—
MS
01
—
302I500748
MEDICARE PTAN
MS
01
—
9139899
AETNA
MS
01
—
P01087213
RAILROAD MEDICARE
MS
Enumeration date
03/27/2012
Last updated
01/29/2018
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