Individual
EMILY BROOKE HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 295-7786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R900127
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800717750
DRIVERS LICENSE
MS
Enumeration date
04/01/2019
Last updated
04/01/2019
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