Individual
BRANDY G HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Mailing address
PO BOX 38150, SHREVEPORT, LA 71133-8150
(318) 631-9121
(318) 631-9126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214188
LA
Other
Enumeration date
07/03/2020
Last updated
02/07/2024
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