Individual
JENNIFER LYNN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LICKING PIKE, WILDER, KY 41071-2912
(859) 572-0400
Mailing address
519 LICKING PIKE, WILDER, KY 41071-2912
(859) 572-0400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018762
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100929270
—
KY
Enumeration date
03/10/2023
Last updated
10/10/2023
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