Individual
MRS. ANZELLA CRUMMEY HINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
903 WARD ST W STE B, DOUGLAS, GA 31533-3536
(912) 384-4111
Mailing address
4477 WAYCROSS HWY, HOMERVILLE, GA 31634-4565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN287195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F09220105
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
NCO-000001
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
RN287195
GEORGIA BOARD OF NURSING
GA
Enumeration date
09/28/2022
Last updated
04/18/2024
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