Provider Demographics
NPI:1841609591
Name:HINSHAW, EMILY JORDAN
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JORDAN
Last Name:HINSHAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 RUSS CORNETT RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8066
Mailing Address - Country:US
Mailing Address - Phone:828-773-5619
Mailing Address - Fax:
Practice Address - Street 1:30522 GARNAND DR
Practice Address - Street 2:
Practice Address - City:EMORY
Practice Address - State:VA
Practice Address - Zip Code:24327-9001
Practice Address - Country:US
Practice Address - Phone:276-944-4121
Practice Address - Fax:276-944-6738
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program