Provider Demographics
NPI:1205481165
Name:HINKSTON, SADE CHERRELLE (LPN)
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:CHERRELLE
Last Name:HINKSTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SADE
Other - Middle Name:CHERRELLE
Other - Last Name:HINKSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2964 HIGH FOREST LN APT 336
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-1319
Mailing Address - Country:US
Mailing Address - Phone:513-413-9926
Mailing Address - Fax:
Practice Address - Street 1:2964 HIGH FOREST LN APT 336
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1319
Practice Address - Country:US
Practice Address - Phone:513-413-9926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167055164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse