Doctor Name: | JACQUELINE J. HINDE |
NPI Number: | 1801864780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 2518 |
Business Practice Address: | E. On Hwy. 160 To Route 59 Behind Kayenta Chapter House Kayenta, AZ - 860331496 |
Business Phone Number: | 9286978154 |
Business Fax Number: | 9286978559 |
Mailing Address: | Po Box 1625, PAGE |
State: | AZ |
Postal Code: | 860401625 |
Phone Number: | 9286459675 |
Fax Number: | 9286452626 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 2518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |