Healthcare Provider Details

I. General information

NPI: 1528721024
Provider Name (Legal Business Name): ASHLYN ELIZABETH HINES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 BARATARIA BLVD STE 4400
MARRERO LA
70072-3084
US

IV. Provider business mailing address

1151 BARATARIA BLVD STE 4400
MARRERO LA
70072-3084
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-6401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number328720
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: