Provider Demographics
NPI:1780187203
Name:HOOD SINNO, MARY NICOLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:NICOLE
Last Name:HOOD SINNO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:NICOLE
Other - Last Name:SINNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:7203 BANIFF CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2440
Mailing Address - Country:US
Mailing Address - Phone:704-906-0973
Mailing Address - Fax:
Practice Address - Street 1:7804 FAIRVIEW RD STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4999
Practice Address - Country:US
Practice Address - Phone:704-316-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-11
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily