Provider Demographics
NPI:1700764313
Name:HINES, TORI TENNIELLE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TORI
Middle Name:TENNIELLE
Last Name:HINES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 STATE SHED LN
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2488
Mailing Address - Country:US
Mailing Address - Phone:276-233-4599
Mailing Address - Fax:
Practice Address - Street 1:200 HOSPITAL DDRIVE
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333
Practice Address - Country:US
Practice Address - Phone:276-236-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001273052163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine