Provider Demographics
NPI:1295143840
Name:HINCKLEY, CHRISTINA MARIE (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:HINCKLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 POPPY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2177
Mailing Address - Country:US
Mailing Address - Phone:619-636-1161
Mailing Address - Fax:619-503-9000
Practice Address - Street 1:6215 FERRIS SQ STE 140
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3279
Practice Address - Country:US
Practice Address - Phone:619-503-9000
Practice Address - Fax:619-503-9000
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily