Provider Demographics
NPI:1669832549
Name:HANES, PATRICIA JANE (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JANE
Last Name:HANES
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 FOX RUN
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78108-2209
Mailing Address - Country:US
Mailing Address - Phone:910-620-1513
Mailing Address - Fax:
Practice Address - Street 1:3616 FOX RUN
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78108-2209
Practice Address - Country:US
Practice Address - Phone:910-620-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily