Individual
JACINTE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
920 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8213
(843) 875-9053
Mailing address
2108 SPRING LAKE WAY, GOOSE CREEK, SC 29445-3091
(843) 513-2620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21507
SC
363LF0000X
Family Nurse Practitioner
F12170147
SC
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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