Provider Demographics
NPI:1467985424
Name:HIMES, HANNAH JOY
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOY
Last Name:HIMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 MOUNT ZION CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ALEXIS
Mailing Address - State:NC
Mailing Address - Zip Code:28006-9721
Mailing Address - Country:US
Mailing Address - Phone:704-747-4363
Mailing Address - Fax:
Practice Address - Street 1:2229 MOUNT ZION CHURCH RD
Practice Address - Street 2:
Practice Address - City:ALEXIS
Practice Address - State:NC
Practice Address - Zip Code:28006-9721
Practice Address - Country:US
Practice Address - Phone:704-747-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator