Provider Demographics
NPI:1740886316
Name:HINSON, CORLYN (CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:CORLYN
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:CORLYN
Other - Middle Name:
Other - Last Name:MCCONNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP, PMHNP-BC
Mailing Address - Street 1:357 MYERS ST
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1721
Mailing Address - Country:US
Mailing Address - Phone:814-341-8408
Mailing Address - Fax:
Practice Address - Street 1:241 MAPLE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-7006
Practice Address - Country:US
Practice Address - Phone:814-693-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022912363LF0000X
PASP032475363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily