Provider Demographics
NPI:1992110969
Name:HINDS, NANCY (FNP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HINDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:GILLIAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 REID PARKWAY
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374
Mailing Address - Country:US
Mailing Address - Phone:765-983-3127
Mailing Address - Fax:765-983-3219
Practice Address - Street 1:1475 E STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-8383
Practice Address - Country:US
Practice Address - Phone:765-932-7591
Practice Address - Fax:765-932-7543
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28188713A363LF0000X
IN71005065A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2012244370 - RPAMedicaid
OH0111351 - RPAMedicaid
IN000000890564OtherANTHEM - RPA
IN71005065AOtherLICENSE NUMBER
IN259370043 - RPAMedicare PIN