MEDICARE: JUWAUN HINKLE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA.1010	AL
2	363A00000X	Physician Assistant	PA1605	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013300714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUWAUN HINKLE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-877-5199
Fax Number	:	702-984-5181

Provider Business Practice Location Address
First Line	:	1655 E CACTUS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7722
Country	:	US
Telephone Number	:	702-877-5088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2015
Last Update Date	:	11/18/2025

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Directions to “ JUWAUN HINKLE PA-C” Practice Location

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