MEDICARE: MARTHA B HINES CRNA

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	367500000X	Certified Registered Nurse Anesthetist	11163	TN

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	:	1386630440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA B HINES CRNA

Provider Business Mailing Address
First Line	:	228 MCINTOSH DR
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-7891
Country	:	US
Telephone Number	:	731-664-4615
Fax Number	:

Provider Business Practice Location Address
First Line	:	367 HOSPITAL BLVD
Second Line	:	REGIONAL HOSPITAL OF JACKSON
City	:	JACKSON
State	:	TN
Zip	:	38305-2080
Country	:	US
Telephone Number	:	731-661-2227
Fax Number	:	731-661-2228

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

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	08/25/2017

Similar Medicare Providers

1053011791 — JACKSON MADISON COUNTY GENERAL HOSPITAL
Practice Location Address:

367 HOSPITAL BOULEVARD , 1ST FLOOR SUITE 101
JACKSON, TN
38305-2080

Practice Phone: 731-661-2260
Practice Fax: 731-661-2261

1609871821 — DAVID VILLARREAL MD
Practice Location Address:

395 HOSPITAL BLVD
JACKSON, TN
38305-2080

Practice Phone: 731-664-7395
Practice Fax: 731-664-0057

1376548503 — DAVID M LAIRD MD
Practice Location Address:

395 HOSPITAL BLVD
JACKSON, TN
38305-2080

Practice Phone: 731-664-7395
Practice Fax: 731-664-0057

1356346142 — DEAN P CURRIE MD
Practice Location Address:

395 HOSPITAL BLVD
JACKSON, TN
38305-2080

Practice Phone: 731-664-7395
Practice Fax: 731-664-0057

1083609770 — JOHN J BALL MD
Practice Location Address:

379 HOSPITAL BLVD
JACKSON, TN
38305-2080

Practice Phone: 731-660-3344
Practice Fax: 731-660-3347

1922094283 — JULIE D JOYCE CRNA
Practice Location Address:

367 HOSPITAL BLVD , REGIONAL HOSPITAL OF JACKSON
JACKSON, TN
38305-2080

Practice Phone: 731-661-2227
Practice Fax: 731-661-2228

Directions to “ MARTHA B HINES CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.