Provider Demographics
NPI:1396042636
Name:HINTON, JEANNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:HINTON-LOFTUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:33365 SKYLARK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92530-6439
Mailing Address - Country:US
Mailing Address - Phone:951-678-8931
Mailing Address - Fax:951-678-7836
Practice Address - Street 1:39525 LOS ALAMOS RD STE E
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5027
Practice Address - Country:US
Practice Address - Phone:951-461-0540
Practice Address - Fax:951-461-0826
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250546363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner