Individual
SUSAN M HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1913 HIGHWAY 45 N, COLUMBUS, MS 39705-1950
(662) 328-1918
(662) 328-7898
Mailing address
PO BOX 179, SMITHVILLE, MS 38870-0179
(662) 651-4686
(662) 651-4648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9328353
FL
363LF0000X
Family Nurse Practitioner
Primary
R519308
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04387573
—
MS
05
—
307676800
—
FL
Enumeration date
05/24/2006
Last updated
07/13/2021
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