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Individual

MIRANDA HINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
765 BERT JOHNSTON AVE, COVINGTON, TN 38019-2414
(901) 585-5574
Mailing address
765 BERT JOHNSTON AVE, COVINGTON, TN 38019-2414
(901) 585-5574

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
234693
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
41903
TN

Other

Enumeration date
12/28/2024
Last updated
05/06/2026
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