Individual
GWENDOLYN HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 2294, MAGNOLIA, AR 71754-7294
(870) 686-2775
Mailing address
PO BOX 2294, MAGNOLIA, AR 71754-7294
(870) 686-2775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L121589
AR
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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