Individual
MRS. JACKIE M HINZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Contact information
Practice address
2662 CORNHUSKER HWY, SUITE 100, LINCOLN, NE 68521-1464
(402) 423-0396
(402) 423-0397
Mailing address
3901 W SPRINGVIEW RD, LINCOLN, NE 68522-8742
(402) 476-6738
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1214
NE
363AS0400X
Surgical Physician Assistant
1214
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247113
MIDLANDS CHOICE
NE
01
—
91177983268510A018
TRI CARE
NE
Enumeration date
02/17/2006
Last updated
10/28/2010
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