Provider Demographics
NPI:1942064456
Name:HINSON, CARRIE MORRIS (RN)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:MORRIS
Last Name:HINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:NC
Mailing Address - Zip Code:28124-9125
Mailing Address - Country:US
Mailing Address - Phone:704-796-7780
Mailing Address - Fax:
Practice Address - Street 1:6300 ROBERTA RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-9416
Practice Address - Country:US
Practice Address - Phone:704-455-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC271115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse