Individual
JACQUELINE M HINSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
365 STOUT DRIVE, SUITE 160, JOHNSON CITY, TN 37614
(423) 439-4225
(423) 439-4560
Mailing address
365 STOUT DRIVE BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508848
—
TN
01
—
APN6563
ST LICENSE
TN
Enumeration date
10/16/2006
Last updated
05/03/2017
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