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DOROTHY JEANINE HINSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2512 HURST DR STE 120, MATTOON, IL 61938-9200
(217) 258-7590
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801-4392

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041226779
IL
363LA2200X
Adult Health Nurse Practitioner
209003941
IL
363LF0000X
Family Nurse Practitioner
Primary
209003941
IL

Other

Enumeration date
08/26/2008
Last updated
03/14/2024
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