Individual
TRACIE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APN, FNP-C
Contact information
Practice address
3906 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(856) 266-5260
Mailing address
24 CROWS NEST CT, MOUNT LAUREL, NJ 08054-6109
(856) 816-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14965200
NJ
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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