Provider Demographics
NPI:1902089600
Name:HAWKINS, JENNIFER MARY (ARNP, BC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 NUVISTA AVE
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-9365
Mailing Address - Country:US
Mailing Address - Phone:561-598-5419
Mailing Address - Fax:561-333-4492
Practice Address - Street 1:10330 NUVISTA AVE
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9365
Practice Address - Country:US
Practice Address - Phone:561-598-5419
Practice Address - Fax:561-333-4492
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9177575363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology