Individual
JARED HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 N 500 W # 84604, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
1034 N 500 W # 84604, PROVO, UT 84604-3380
(801) 357-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8067363-4405
UT
Other
Enumeration date
12/19/2018
Last updated
03/19/2020
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