Brandy G Hawkins, FNP
Nurse Practitioner, Family in Shreveport, LA. Individual provider (NPI-1).
NPI number1164049359
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1164049359
- Entity type
- Individual (NPI-1)
- Name
- Brandy G Hawkins
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2020
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 214188 | LA | Yes |
Practice location
3217 Mabel StShreveport, LA 71103-4022
Phone 318-631-9121 · Fax 318-631-9126
Mailing address
Po Box 38150Shreveport, LA 71133-8150
Phone 318-631-9121 · Fax 318-631-9126
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