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Individual

JAYME L HAWTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395
(623) 242-1231
(623) 242-1232
Mailing address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
(623) 242-1232

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN133566
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
233188
AZ

Other

Enumeration date
10/26/2017
Last updated
12/02/2025
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