Individual
ELISE MONIQUE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
4010 DUPONT CIR STE 300, LOUISVILLE, KY 40207-4881
(502) 894-6066
Mailing address
4010 DUPONT CIR STE 300, LOUISVILLE, KY 40207-4881
(502) 894-6066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730136995
GROUP NPI
KY
Enumeration date
01/10/2020
Last updated
01/10/2020
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