Healthcare Provider Details

I. General information

NPI: 1912914151
Provider Name (Legal Business Name): CARRIE DIANE HINTON APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N MARTIN LUTHER KING DR
CLARKSVILLE TX
75426-2991
US

IV. Provider business mailing address

107 WOODBINE PL
LONGVIEW TX
75601-2912
US

V. Phone/Fax

Practice location:
  • Phone: 903-427-2226
  • Fax: 903-427-3227
Mailing address:
  • Phone: 903-758-2471
  • Fax: 903-234-1639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP114641
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: