Individual
MRS. SUSIE ERVIN HINEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
208 E 113TH ST S, JENKS, OK 74037-3203
(918) 397-3328
Mailing address
621 17TH AVE NE, ABERDEEN, SD 57401-1446
(918) 397-3328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209458
OK
363LF0000X
Family Nurse Practitioner
209458
OK
363LF0000X
Family Nurse Practitioner
Primary
CP003275
SD
Other
Enumeration date
07/30/2022
Last updated
11/03/2025
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