Individual
JAMIE DANIELLE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-2688
Mailing address
7655 FM 1398, HOOKS, TX 75561-6670
(870) 703-7619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
871264
TX
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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