Healthcare Provider Details

I. General information

NPI: 1841775707
Provider Name (Legal Business Name): MARGARET S HINNANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E 2ND ST
KENLY NC
27542-7794
US

IV. Provider business mailing address

PO BOX 275
KENLY NC
27542-0275
US

V. Phone/Fax

Practice location:
  • Phone: 919-284-4025
  • Fax: 919-284-5965
Mailing address:
  • Phone: 919-284-4025
  • Fax: 919-284-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5010892
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: