Provider Demographics
NPI:1235956285
Name:HYMAN, GENEVIEVE NASHELL
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:NASHELL
Last Name:HYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 GAIRLOCH DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-0318
Mailing Address - Country:US
Mailing Address - Phone:202-717-5853
Mailing Address - Fax:
Practice Address - Street 1:1449 GAIRLOCH DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-0318
Practice Address - Country:US
Practice Address - Phone:202-717-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty