Provider Demographics
NPI:1952108102
Name:HORINE, LOREEN (NP)
Entity type:Individual
Prefix:
First Name:LOREEN
Middle Name:
Last Name:HORINE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LOREEN
Other - Middle Name:
Other - Last Name:HORINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:606 BALTIMORE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4097
Mailing Address - Country:US
Mailing Address - Phone:410-570-2021
Mailing Address - Fax:
Practice Address - Street 1:508 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2570
Practice Address - Country:US
Practice Address - Phone:912-785-2100
Practice Address - Fax:912-368-3868
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024192406363LP0808X
MDR147417363LP0808X
GARN302057363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health