Individual
MRS. JACKIE M HINZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA- C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1214
NE
363AM0700X
Medical Physician Assistant
138819
IA
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
06/30/2026
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