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NPI Code Detail

MEDICARE: JUWAUN HINKLE PA-C

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
1363A00000XPhysician AssistantPA.1010AL
2363A00000XPhysician AssistantPA1605NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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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