MEDICARE: MRS. BRITTNI COLLEEN HINES FNP-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	363LF0000X	Family Nurse Practitioner	AP145607	TX

General Provider Information

NPI Number	:	1194331876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITTNI COLLEEN HINES FNP-C

Provider Business Mailing Address
First Line	:	607 RUSSELL BLVD # A
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1247
Country	:	US
Telephone Number	:	936-560-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	607 RUSSELL BLVD # A
Second Line	:
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-1247
Country	:	US
Telephone Number	:	936-560-2920
Fax Number	:

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

Provider Enumeration Date	:	09/18/2020
Last Update Date	:	12/04/2025

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