Individual
MS. AMY CAROLE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
1554 ISLAND CT, OSAGE BEACH, MO 65065-3385
(573) 280-7448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015023423
MO
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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