Provider Demographics
NPI:1255497467
Name:HANKINS, BETHANY MARY (PA)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:MARY
Last Name:HANKINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:MARY
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1605 UNIVERSITY BLVD S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-2960
Mailing Address - Country:US
Mailing Address - Phone:251-660-9393
Mailing Address - Fax:251-662-0372
Practice Address - Street 1:1605 UNIVERSITY BLVD S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-2960
Practice Address - Country:US
Practice Address - Phone:251-660-9393
Practice Address - Fax:251-662-0372
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-425363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical