Individual
JACKIE YOLANDA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11509 HARDIN VALLEY RD, KNOXVILLE, TN 37932-2377
(865) 200-4101
Mailing address
PO BOX 6746, KNOXVILLE, TN 37914-0746
(865) 283-9425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27626
TN
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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