NPI 1396344917

Jesse Hines, PAC

Practitioner Physician Assistant Evans, CO

Practice location

Address: 2930 11th Ave, Evans, CO 80620-1011
Phone: (970) 353-9403
Fax: (970) 353-5884

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 6567 (CO)

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Registry record

NPI: 1396344917
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2020
Record last updated: 7 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.