Individual
ERMA JEAN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
PO BOX 1216, CLARKSDALE, MS 38614-1216
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
864195
MS
Other
Enumeration date
06/29/2017
Last updated
06/01/2020
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