Provider Demographics
NPI:1891379566
Name:GASKINS, HANNAH (FNP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:GASKINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 MILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CALABASH
Mailing Address - State:NC
Mailing Address - Zip Code:28467-2929
Mailing Address - Country:US
Mailing Address - Phone:910-612-2368
Mailing Address - Fax:
Practice Address - Street 1:1075 MILLE AVE
Practice Address - Street 2:
Practice Address - City:CALABASH
Practice Address - State:NC
Practice Address - Zip Code:28467-2929
Practice Address - Country:US
Practice Address - Phone:910-612-2368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCGASK-QJ85C363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner