Provider Demographics
NPI:1306261045
Name:HYLTON, TINA PATRICIA (NP-C)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:PATRICIA
Last Name:HYLTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 OWEN DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-1633
Mailing Address - Country:US
Mailing Address - Phone:910-223-7246
Mailing Address - Fax:910-223-7247
Practice Address - Street 1:1840 OWEN DR
Practice Address - Street 2:SUITE 103
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-1633
Practice Address - Country:US
Practice Address - Phone:910-223-7246
Practice Address - Fax:910-223-7247
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF0513072363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner