Individual
STEPHANIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
2945 RENWICK ST, MONROE, LA 71201-8146
(318) 654-8760
(318) 605-2374
Mailing address
202 CARTER DR, WEST MONROE, LA 71291-7240
(903) 439-5189
(903) 438-1107
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
234409
LA
363LP0200X
Pediatric Nurse Practitioner
AP126597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347490001
—
TX
05
—
347490002
—
TX
01
—
752950731
TAX ID
TX
Enumeration date
12/03/2013
Last updated
08/23/2024
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