Healthcare Provider Details

I. General information

NPI: 1336057710
Provider Name (Legal Business Name): COURTNEY R HINCHEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 YELLOWJACKET LN
CLINTON AR
72031-6873
US

IV. Provider business mailing address

21483 HIGHWAY 16 W
CLINTON AR
72031-7282
US

V. Phone/Fax

Practice location:
  • Phone: 501-745-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberL047839
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: