Provider Demographics
NPI:1629724570
Name:HANKINS, SUSAN O (NP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:O
Last Name:HANKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:359 GRASSLAND DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1706
Mailing Address - Country:US
Mailing Address - Phone:931-896-5984
Mailing Address - Fax:
Practice Address - Street 1:141 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5088
Practice Address - Country:US
Practice Address - Phone:931-563-0738
Practice Address - Fax:931-552-0999
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN31257363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner