Individual
JAMIE LYNN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8950 W EMERALD ST STE 168, BOISE, ID 83704-8296
(208) 321-1209
Mailing address
8950 W EMERALD ST STE 168, BOISE, ID 83704-8296
(208) 321-1209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2759
ID
Other
Enumeration date
07/30/2021
Last updated
04/16/2024
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