Individual
JACKIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256
(317) 621-7801
Mailing address
29943 NETWORK PL, CHICAGO, IL 60673-1299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008174A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016769
—
IN
Enumeration date
03/30/2018
Last updated
06/17/2026
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