Provider Demographics
NPI:1770173536
Name:HIBBS, DENA KAYE (APRN)
Entity type:Individual
Prefix:MRS
First Name:DENA
Middle Name:KAYE
Last Name:HIBBS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 740
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-0740
Mailing Address - Country:US
Mailing Address - Phone:870-584-3000
Mailing Address - Fax:870-584-3003
Practice Address - Street 1:1553 W COLLIN RAYE DR
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-3801
Practice Address - Country:US
Practice Address - Phone:870-584-3000
Practice Address - Fax:870-584-3003
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR214566363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty