Healthcare Provider Details

I. General information

NPI: 1962123000
Provider Name (Legal Business Name): HILARY LEE BELVIN-HINTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 ENOCH BLVD
SAVANNAH TN
38372-2240
US

IV. Provider business mailing address

PO BOX 655
SAVANNAH TN
38372-0655
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-8879
  • Fax:
Mailing address:
  • Phone: 731-925-2300
  • Fax: 731-926-8978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number32197
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: