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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE LYNN HAWKINSON, SPTA

Active Sole Proprietor

JACKIE LYNN HAWKINSON, SPTA is a Student (Health Education/Training) healthcare provider located in SAINT LOUIS PARK, Minnesota. NPI 1578801346 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SAINT LOUIS PARK, MN

Registration Details

NPI Number
1578801346
Provider Type
Individual
Gender
Female
NPI Issued
Jan 29, 2013 (13.514662578371 yrs)
Last Updated
Jan 29, 2013
License
G087026331215 (MN)
Sole Proprietor
Yes

Practice Information

Address
6008 GOODRICH AVE
SAINT LOUIS PARK, MN, 554162425
Browse MN providers · Browse ZIP 55416
Phone
6125780502
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SAINT LOUIS PARK, MN

Name Credential NPI
CARISSA ALANI SCOTT 1386424752
MARY BAUMGARTNER MD 1003604034
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.