Provider Demographics
NPI:1487771788
Name:HINES, JANET M (NP)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:HINES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 POTRERO AVE BLDG 80
Mailing Address - Street 2:SFGH CHILD & ADOL SEXUAL ABS CTR.
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-8386
Mailing Address - Fax:415-206-6273
Practice Address - Street 1:995 POTRERO AVE BLDG 80
Practice Address - Street 2:SFGH CHILD & ADOL SEXUAL ABS CTR.
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-8386
Practice Address - Fax:415-206-6273
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN365042163WC1500X
CANPF8008363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
056119OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER