Provider Demographics
NPI:1558606061
Name:HINSON, GINA MECHELLE JOY (HAS)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MECHELLE JOY
Last Name:HINSON
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 WELLS RD
Mailing Address - Street 2:UNIT 100
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2371
Mailing Address - Country:US
Mailing Address - Phone:904-269-5700
Mailing Address - Fax:904-269-9004
Practice Address - Street 1:1871 WELLS RD
Practice Address - Street 2:UNIT 100
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-2371
Practice Address - Country:US
Practice Address - Phone:904-269-5700
Practice Address - Fax:904-269-9004
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2962237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist