Provider Demographics
NPI:1568863413
Name:HINES, JESSICA A (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:HINES
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:A
Other - Last Name:CHELEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NP-C
Mailing Address - Street 1:720 N WEBB RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-3310
Mailing Address - Country:US
Mailing Address - Phone:308-395-7700
Mailing Address - Fax:308-395-7713
Practice Address - Street 1:720 N WEBB RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3310
Practice Address - Country:US
Practice Address - Phone:308-395-7700
Practice Address - Fax:308-395-7713
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily