Basic Information
Provider Information
NPI: 1447914650
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARAMORE-HINES
FirstName: MELINDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75172 FERN CREEK DR
Address2:  
City: YULEE
State: FL
PostalCode: 320970634
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8773 PERIMETER PARK CT
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322161165
CountryCode: US
TelephoneNumber: 9044933390
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/25/2021
LastUpdateDate: 10/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X9343622FLN Nursing Service ProvidersRegistered Nurse 
363LF0000X11013063FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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