| Doctor Name: | MRS. HEATHER HYNES |
| NPI Number: | 1033477542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 132483 |
| Business Practice Address: | 2125 Highway 52 Tuscumbia, MO - 65082 |
| Business Phone Number: | 5733692359 |
| Business Fax Number: | |
| Mailing Address: | 2125 Highway 52, TUSCUMBIA |
| State: | MO |
| Postal Code: | 650822305 |
| Phone Number: | 5733692359 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2012 |
| NPI Last Update Date: | 05/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 132483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |