Individual
KAITLIN JOHNSON HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Mailing address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903779
MS
363LF0000X
Family Nurse Practitioner
903779
MS
Other
Enumeration date
07/01/2020
Last updated
02/01/2021
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