Individual provider · Type 1 NPI

Jillisa D. Hawk, ARNP

Family Nurse Practitioner · Berea, KY

NPI number 1053567552 Active

Practice location

305 Estill St
Berea, KY 40403-1742

Fax (859) 986-7369

Mailing address

PO Box 484
Berea, KY 40403-0484

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5652P (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1053567552

Jillisa D. Hawk, ARNP's National Provider Identifier is 1053567552, issued on Aug 15, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Berea, KY. The record was last updated on Aug 15, 2008.